JAMES STILLWELL EASTERBROOK (NPI# 1205985611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205985611 |
| Entity Type | Individual |
| Full Name | JAMES STILLWELL EASTERBROOK |
| Credential | M.D. |
| Practice Address |
402 Bowman Gray Dr Greenville NC 27834-7209 |
| Practice Telephone | 2527529000 |
| Mailing Telephone | 2527529000 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
38608 | NC | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
38608 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8929942 | 05 | |
| NC | BCBS | 29914 | 01 |
| Street Address |
402 BOWMAN GRAY DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912096843 | East Carolina Neurology, Inc. | Radiology | 402 Bowman Gray Dr, Greenville, NC 27834-7209 | 2006-10-11 |
| 1619312238 | Ecu Medicine Neurology Mri | Radiologic Technologist | 402 Bowman Gray Dr, Greenville, NC 27834-7209 | 2013-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912096843 | East Carolina Neurology, Inc. | Radiology | 402 Bowman Gray Dr, Greenville, NC 27834-7209 | 2006-10-11 |
| 1649248519 | Aquilla Turk IIi | Radiology | 109 Doctors Dr, Greenville, SC 29605 | 2006-03-08 |
| 1790028868 | Richard Christopher Leach | Radiology | 1210 W Faris Rd, Greenville, SC 29605-4444 | 2013-03-27 |
| 1750642096 | Todd Michael Danziger | Radiology | 1210 W Faris Rd, Greenville, SC 29605 | 2012-06-04 |
| 1366762502 | Joseph Clayton Holladay IIi | Radiology | 1210 W Faris Rd, Greenville, SC 29605-4444 | 2010-06-10 |
| 1396908026 | Ervin Lee Lowther Jr. | Radiology | 1210 W Faris Rd, Greenville, SC 29605-4444 | 2008-07-02 |
| 1124142625 | Maureen Barry | Radiology | 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 | 2007-03-19 |
| 1194747675 | Thomas Graham West | Radiology | 2101 W Arlington Blvd Ste 210, Greenville, NC 27834-5758 | 2006-07-24 |
| 1679518492 | Mohammad I. Chaudry | Radiology | 109 Doctors Dr, Greenville, SC 29605-5608 | 2006-06-17 |
| 1174581557 | Jerry Burke | Radiology | 2280 Hemby Ln, Greenville, NC 27834-3773 | 2006-05-03 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on JAMES STILLWELL EASTERBROOK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.