Provider Demographics
NPI: | 1669467767 |
---|---|
Name: | ALBEMARLE NEPHROLOGY ASSOC |
Entity Type: | Organization |
Organization Name: | ALBEMARLE NEPHROLOGY ASSOC |
Other - Org Name: | KARL BRANDSPIGEL MD |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KARL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BRANDSPIGEL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 252-335-1083 |
Mailing Address - Street 1: | 206 HASTINGS LN |
Mailing Address - Street 2: | |
Mailing Address - City: | ELIZABETH CITY |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27909-3324 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 252-335-1083 |
Mailing Address - Fax: | 252-335-4030 |
Practice Address - Street 1: | 206 HASTINGS LN |
Practice Address - Street 2: | |
Practice Address - City: | ELIZABETH CITY |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27909-3324 |
Practice Address - Country: | US |
Practice Address - Phone: | 252-335-1083 |
Practice Address - Fax: | 252-335-4030 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2005-09-14 |
Last Update Date: | 2008-06-12 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | Group - Single Specialty |