Provider Demographics
NPI:1235366600
Name:KRAGEL, CRYSTEN BRINKLEY (MD)
Entity Type:Individual
Prefix:
First Name:CRYSTEN
Middle Name:BRINKLEY
Last Name:KRAGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CRYSTEN
Other - Middle Name:MARIE
Other - Last Name:BRINKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5616
Mailing Address - Fax:828-650-8076
Practice Address - Street 1:50 DOCTORS DR
Practice Address - Street 2:SUITE 1
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-7209
Practice Address - Country:US
Practice Address - Phone:828-651-4089
Practice Address - Fax:828-651-4087
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013004362084N0400X
AL201300436390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCO314AMedicare UPIN