Robert William Sprunk, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301038419 Issued in MI

Practice address

3537 W Front St
Suite G
Traverse City, MI 49684-7943

Phone

(231) 935-8822

Fax

(231) 935-8837

NPI assigned

Jan 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Munson Medical Center

  dba Endocrinology and Metabolism

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
  • NPI 1083761860
  Medicare reassignment NPD
• Munson Medical Center

  • Psychiatric Hospital Unit
  • Traverse City, MI
  • NPI 1659385334
  NPD
• Munson Medical Center

  • Psychiatric Hospital Unit
  • Traverse City, MI
  • NPI 1891586103
  NPD
• Grand Traverse Children's Clinic

  • Pediatrics Physician
  • Traverse City, MI
  • NPI 1750398871
  NPD (past)

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1962480814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST",
            "address_2": "SUITE G",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847943",
            "telephone_number": "231-935-8822",
            "fax_number": "231-935-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST",
            "address_2": "SUITE G",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847943",
            "telephone_number": "231-935-8822",
            "fax_number": "231-935-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRUNK",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301038419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308879",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Kaye Spratt
• Matthew Springberg, LPC
• Springside Soulutions L.L.C.
• William Allan Springstead, MD
• Peter W Springsteen, M.D.
• SQDQ Corp
• St. Ann Corporation Dba Brightstar of Northern Michigan
• Steven St. Charles, M.D.
• Alicia Marie St. Sauveur
• Stacey Beyer, Otr PLLC (Therapy Connections)

• Pediatrics Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.