JAMES STILLWELL EASTERBROOK M.D. NPI 1205985611

NPI Information

NPI: 1205985611
Provider Name: JAMES STILLWELL EASTERBROOK, M.D.
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Address:
402 BOWMAN GRAY DR
GREENVILLE, NC
ZIP 27834
Phone: (252) 752-9000
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James Stillwell Easterbrook, M.D. is a neuroradiology radiology in Greenville, NC. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. James Stillwell Easterbrook, M.D. NPI is 1205985611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

402 BOWMAN GRAY DR
GREENVILLE, NC
ZIP 27834-209
Phone: (252) 752-9000

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	38608	NORTH CAROLINA	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	38608	NORTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	29914	OTHER	NORTH CAROLINA	BCBS
2	2146816E	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	ECN
3	B22447	MEDICARE UPIN
4	2146816D	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	MRI
5	8929942	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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