Bryan D Spader, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

NC9701871 Issued in NC

Practice address

Eastpointe Kinston
2901 N Heritage St
Kinston, NC 28501

Phone

(252) 233-2260

Fax

(252) 523-3262

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alternative Care Treatments Systems, Inc

  • Community/Behavioral Health Agency
  • Goldsboro, NC
  • NPI 1558487421
  NPD (past)
• Eastpointe Human Services

  • Community/Behavioral Health Agency
  • Lumberton, NC
  • NPI 1306058524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255408605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EASTPOINTE KINSTON",
            "address_2": "2901 N HERITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28501",
            "telephone_number": "252-233-2260",
            "fax_number": "252-523-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EASTPOINTE KINSTON",
            "address_2": "2901 N HERITAGE ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28501",
            "telephone_number": "252-233-2260",
            "fax_number": "252-523-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADER",
        "first_name": "BRYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "NC9701871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lekesha Ledbetter Smith, OTR/L
• Lisa Price Smith, LPA
• Michael Jay Smith, NP
• Sherry Daughety Smith, N.P.
• Amy Soderstrom, RPH
• Karen Freeland Sperati, LCSW
• Spring Arbor Kinston NC Tenant, LLC
• Spring Arbor of Kinston, LTD
• Sheena Stallings
• Carole E Stancill, CRNA

• Psychiatry Physician in Kinston, NC
• Providers in Kinston, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.