Active NPI
Brian J Coyne, RCEP
- Clinical Exercise Physiologist
- Durham, NC
National Provider Identifier
1871732115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 3475 Erwin Rd
Durham, NC 27705-0005 - Phone
- (919) 660-6840
- NPI assigned
- Feb 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | CEP.CE0117 | LA | |
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | CEP.CE0117 | LA | |
| Clinical Exercise Physiologist | 224Y00000X | Primary |
Addresses
Primary practice location
3475 Erwin Rd
Durham, NC 27705-0005
Mailing address
1116 Crinoline LN
Morrisville, NC 27560-7187
Phone (318) 265-0326
Other practice location 1
1116 Crinoline Ln
Morrisville, NC 27560-7187
Phone (318) 265-0326
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 |
|---|---|---|---|
| CEP.CE0117 | LA | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1871732115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 CRINOLINE LN",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275607187",
"telephone_number": "318-265-0326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277050005",
"telephone_number": "919-660-6840"
}
],
"practiceLocations": [
{
"address_1": "1116 Crinoline Ln",
"address_purpose": "LOCATION",
"city": "Morrisville",
"state": "NC",
"postal_code": "275607187",
"country_code": "US",
"telephone_number": "318-265-0326",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COYNE",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "RCEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-10",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "LA",
"license": "CEP.CE0117",
"primary": false
},
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "LA",
"license": "CEP.CE0117",
"primary": false
},
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.