NPIMap

Organization Active NPI

William C. Stanbery, II, Family Practice

  • Family Medicine Physician
  • Cleveland, TN
National Provider Identifier
1629150891
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILLIAM C. STANBERY, II, FAMILY PRACTICE
Practice address
424 Berywood TRL NW
Cleveland, TN 37312-5251
Phone
(423) 479-8981
Fax
(423) 472-5792
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William C Stanbery II, MD
Title
Owner
Phone
(423) 479-8981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

424 Berywood TRL NW
Cleveland, TN 37312-5251

Mailing address

424 Berywood TRL NW
Cleveland, TN 37312-5251
Phone (423) 479-8981

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629150891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 BERYWOOD TRL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125251",
            "telephone_number": "423-479-8981",
            "fax_number": "423-472-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 BERYWOOD TRL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373125251",
            "telephone_number": "423-479-8981",
            "fax_number": "423-472-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. STANBERY, II, FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANBERY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-479-8981",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.