Active NPI
Craven Neurologic PA
- Specialist
- Wilson, NC
National Provider Identifier
1972834893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 38597
- Legal business name
- CRAVEN NEUROLOGIC PA
- Practice address
- 2402 Camden St SW
Suite 100
Wilson, NC 27893-8608 - Phone
- (252) 399-7500
- Fax
- (252) 399-0123
- NPI assigned
- Jan 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William James Craven, M.D.
- Title
- Physician/Owner
- Phone
- (252) 399-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 38597 | NC | Primary |
Addresses
Primary practice location
2402 Camden St SW
Suite 100
Wilson, NC 27893-8608
Mailing address
2402 Camden St SW
Suite 100
Wilson, NC 27893-8608
Phone (252) 399-7500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2169750D | Other | NC | MEDICARE ID - TYPE UNSPECIFIED |
| 8925321 | Medicaid | NC | |
| 25321 | Other | NC | BLUE CROSS AND BLUE SHIELD OF NC |
National Provider Directory
National Provider DirectoryLocations
2402 Camden St SW
Ste 100
Wilson, NC 27893
Phone (252) 399-7500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- New Bern, NC
- NPI 1306830286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263513600000",
"number": "1972834893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 CAMDEN ST SW",
"address_2": "SUITE 100",
"city": "WILSON",
"state": "NC",
"postal_code": "278938608",
"telephone_number": "252-399-7500",
"fax_number": "252-399-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 CAMDEN ST SW",
"address_2": "SUITE 100",
"city": "WILSON",
"state": "NC",
"postal_code": "278938608",
"telephone_number": "252-399-7500",
"fax_number": "252-399-0123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAVEN NEUROLOGIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-15",
"last_updated": "2010-01-15",
"status": "A",
"authorized_official_last_name": "CRAVEN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "252-399-7500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "38597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID - TYPE UNSPECIFIED",
"identifier": "2169750D",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8925321",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD OF NC",
"identifier": "25321",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.