Provider Demographics
NPI:1891706990
Name:SPROUL, JAMES ARNOLD
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARNOLD
Last Name:SPROUL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60159
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93386-0159
Mailing Address - Country:US
Mailing Address - Phone:661-872-7000
Mailing Address - Fax:661-872-0499
Practice Address - Street 1:2201 MOUNT VERNON AVE
Practice Address - Street 2:STE 211
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3341
Practice Address - Country:US
Practice Address - Phone:661-872-7000
Practice Address - Fax:661-872-0499
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG59206207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G592060Medicaid
00G592060Medicare ID - Type Unspecified
F09923Medicare UPIN