Neville Willibe Spurgeon Jr., MS, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL4321 Issued in FL

Practice address

640 Dr Mary McLeod Bethune Blvd
Daytona Beach, FL 32114-3012

Phone

(386) 481-2281

NPI assigned

Sep 25, 2015

Last updated

Sep 25, 2015By the provider in NPPES

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)

Not enrolled

Credentials

Master of Science

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.

• Bethune-Cookman University

  dba Bethune-Cookman Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Daytona Beach, FL
  • NPI 1689076499
  NPD (past)

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1639549272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 NW 21ST CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333113315",
            "telephone_number": "954-205-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 DR MARY MCLEOD BETHUNE BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321143012",
            "telephone_number": "386-481-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURGEON",
        "first_name": "NEVILLE",
        "middle_name": "WILLIBE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rik Jozef Spelmans, PT
• Lisel Spieler, PA-C
• Kayla Spinks
• Mark Spivey, L.C.S.W.
• Peter Springer, MD
• Sreyboth Sreng, APRN
• Sathvik Srikanth
• Luther St. James III, M.D.
• Tyler Jay Staley, M.D.
• Molly Stamper

• Athletic Trainer in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.