Organization Active NPI

Cranbrook Primary Care, PLLC

  • Family Medicine Physician
  • High Point, NC
National Provider Identifier
1922067727
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CRANBROOK PRIMARY CARE, PLLC
Practice address
1231 Eastchester Dr
Suite 120
High Point, NC 27265-3103
Phone
(336) 885-4800
Fax
(336) 885-4810
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. R Steven McDonald, DO
Title
Owner/ Physician
Phone
(336) 885-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NC Primary

Addresses

Primary practice location

1231 Eastchester Dr
Suite 120
High Point, NC 27265-3103

Mailing address

1231 Eastchester Dr
Suite 120
High Point, NC 27265-3103
Phone (336) 885-4800

Other identifiers 1

IdentifierTypeStateIssuer
89014E8MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922067727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 EASTCHESTER DR",
            "address_2": "SUITE 120",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653103",
            "telephone_number": "336-885-4800",
            "fax_number": "336-885-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 EASTCHESTER DR",
            "address_2": "SUITE 120",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653103",
            "telephone_number": "336-885-4800",
            "fax_number": "336-885-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANBROOK PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "R STEVEN",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "336-885-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014E8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.