Active NPI
Thomas R. Spruill, M.D., P.a.
- Psychiatry Physician
- Raleigh, NC
National Provider Identifier
1316990245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 29803
- Legal business name
- THOMAS R. SPRUILL, M.D., P.A.
- Practice address
- 3900 Browning PL
Suite 201
Raleigh, NC 27609-6508 - Phone
- (919) 787-7125
- Fax
- (919) 781-9952
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas R. Spruill, M.D.
- Title
- President
- Phone
- (919) 787-7125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 29803 | NC | Primary |
Addresses
Primary practice location
3900 Browning PL
Suite 201
Raleigh, NC 27609-6508
Mailing address
3900 Browning PL
Suite 201
Raleigh, NC 27609-6508
Phone (919) 787-7125
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79054 | Other | NC | BCBS |
| 8979054 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
3900 Browning Pl
Ste 201
Raleigh, NC 27609
Phone (919) 787-7125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204329600000",
"number": "1316990245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 BROWNING PL",
"address_2": "SUITE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096508",
"telephone_number": "919-787-7125",
"fax_number": "919-781-9952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 BROWNING PL",
"address_2": "SUITE 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096508",
"telephone_number": "919-787-7125",
"fax_number": "919-781-9952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS R. SPRUILL, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2008-03-01",
"status": "A",
"authorized_official_last_name": "SPRUILL",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-787-7125",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "29803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "79054",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8979054",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.