Active NPI
William B Brunk, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Raleigh, NC
National Provider Identifier
1730202060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3534
- Practice address
- 7700 Falls of Neuse Rd
Suite 190
Raleigh, NC 27615-3354 - Phone
- (919) 676-0541
- Fax
- (919) 676-0953
- NPI assigned
- Apr 10, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3534 | NC | Primary |
Addresses
Primary practice location
7700 Falls of Neuse Rd
Suite 190
Raleigh, NC 27615-3354
Mailing address
7700 Falls of Neuse Rd
Suite 190
Raleigh, NC 27615-3354
Phone (919) 676-0541
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3534 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730202060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 FALLS OF NEUSE RD",
"address_2": "SUITE 190",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153354",
"telephone_number": "919-676-0541",
"fax_number": "919-676-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 FALLS OF NEUSE RD",
"address_2": "SUITE 190",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153354",
"telephone_number": "919-676-0541",
"fax_number": "919-676-0953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNK",
"first_name": "WILLIAM",
"middle_name": "B",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "3534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.