Dr. William Gregory Sullivan, MD
Surgery in Raleigh, NC. Individual provider (NPI-1).
NPI number1083783005
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083783005
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Gregory Sullivan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 17288 | NC | Yes |
Practice location
3024 New Bern AveSuite 304 - Surgery / Trauma
Raleigh, NC 27610-1247
Phone 919-350-8729 · Fax 919-350-7633
Mailing address
3024 New Bern AveSuite 300
Raleigh, NC 27610-1247
Phone 919-350-8228 · Fax 919-350-7976
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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