Active NPI
Timothy L Spradlin, M.D.
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1720082431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L0616
- Practice address
- 100 W Dean Keeton St
Austin, TX 78712-1091 - Phone
- (512) 475-8235
- Fax
- (512) 475-9693
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L0616 | TX | Primary |
Addresses
Primary practice location
100 W Dean Keeton St
Austin, TX 78712-1091
Mailing address
100 W Dean Keeton St
Austin, TX 78712-1091
Phone (124) 758-2355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Urgent Care PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Fort Smith, AR
- NPI 1619133394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1720082431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W DEAN KEETON ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121091",
"telephone_number": "124-758-2355",
"fax_number": "512-475-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W DEAN KEETON ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787121091",
"telephone_number": "512-475-8235",
"fax_number": "512-475-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRADLIN",
"first_name": "TIMOTHY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L0616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Andrea B Spraggins, PH.D.
- Thomas Sprague, DO
- Aleck Spratt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.