Individual provider Active NPI

Linda I Greenspan, D.O.

  • Family Medicine Physician
  • Burgaw, NC
National Provider Identifier
1528099462
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006-01488 Issued in NC
Practice address
301 S Campbell St
Burgaw, NC 28425-5011
Phone
(910) 259-5721
Fax
(910) 259-8002
NPI assigned
Jul 6, 2006
Last updated
May 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB05664900 NJ
Family Medicine Physician 207Q00000X 2006-01488 NC Primary

Addresses

Primary practice location

301 S Campbell St
Burgaw, NC 28425-5011

Mailing address

301 S Campbell St
Burgaw, NC 28425-5011
Phone (910) 259-5721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000353 NC Practitioner - Family Practice 9436245453 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB05664900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Services Inc Family Medicine CurrentSince Jan 8, 2007 Accepting new patients
Black River Health Services Inc Current Accepting new patients
Black River Health Services Inc CurrentSince Jan 8, 2007 Accepting new patients

Locations

109 W Church St
Atkinson, NC 28421
Phone (910) 283-7783

301 S Campbell St
Burgaw, NC 28425
Phone (910) 259-5721

4811 NC Hwy 50
Maple Hill, NC 28454
Phone (910) 259-6444

7910 US Hwy 117 S
Rocky Point, NC 28457
Phone (910) 300-4320

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1528099462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CAMPBELL ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255011",
            "telephone_number": "910-259-5721",
            "fax_number": "910-259-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CAMPBELL ST",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284255011",
            "telephone_number": "910-259-5721",
            "fax_number": "910-259-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "LINDA",
        "middle_name": "I",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05664900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

Verify at the official NPI Registry.