Piedmont Spine Specialists, PA

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PIEDMONT SPINE SPECIALISTS, PA

Practice address

3480 Wake Forest Rd
Suite 208
Raleigh, NC 27609-7376

Phone

(919) 781-4541

Fax

(919) 781-4812

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

John Gregory Bentley, MDNPI 1780628198

Title

President

Phone

(919) 781-4541

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Gregory Bentley, MD

  • Pain Medicine Physician
  • Poughkeepsie, NY
  • NPI 1780628198
  NPD (past) Authorized official
• Jon Jay Wilson, DO

  • Pain Medicine Physician
  • Raleigh, NC
  • NPI 1548298334
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1720028558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16934",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275166934",
            "telephone_number": "919-442-2407",
            "fax_number": "919-967-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 WAKE FOREST RD",
            "address_2": "SUITE 208",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097376",
            "telephone_number": "919-781-4541",
            "fax_number": "919-781-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT SPINE SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-781-4541",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902775",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "017P7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Scott Pickus, ACNPC-AG
• Pieces to Peace, PLLC
• Piedmont Cardiology PA
• Piedmont Internal Medicine, Pulmonary and Infectious Diseases, PA
• Piedmont Medical Associates PA
• Mark Donald Piehl, M.D.
• Danielle Joyner Piekaar, MSN, APRN, AGNP-C
• Clarise Pienaar
• Joel Pieper
• Pierce Point Counseling & Wellness PLLC

• Pain Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Pain Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.