Edward Spencer, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

H0837 Issued in TX

Practice address

502 West Jasper
Killeen, TX 76542-1312

Phone

(254) 526-6300

Fax

(254) 526-6349

NPI assigned

Oct 3, 2006

Last updated

Mar 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Killeen Medical Clinic , P.a.

  • Family Medicine Physician
  • Killeen, TX
  • NPI 1588736870
  Authorized official Same address or phone
• LHP Texas MD Services Inc

  dba Wellstone Health Partners

  • General Practice Physician
  • Harker Heights, TX
  • NPI 1841562667
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1548355902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WEST JASPER",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421312",
            "telephone_number": "254-526-6300",
            "fax_number": "254-526-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WEST JASPER",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421312",
            "telephone_number": "254-526-6300",
            "fax_number": "254-526-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "H0837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Sowell, LBSW
• Douglas Ray Sparks, CRNA
• Phillip Sparks
• Elizabeth Tamara Spears, PHARMD
• Katherine Spence, M.S., CCC/SLP
• Abigail Marie Spino
• Jeffrey Spires Jr.
• Ashley N Spivey
• Audrey Brooke Spivey, FNP-C
• Dawn Maria Spradley, LPC

• Legal Medicine in Killeen, TX
• Providers in Killeen, TX by specialty
• Legal Medicine in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.