Provider Demographics
NPI:1609308451
Name:CREED, ERIC BRANDON (DO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:BRANDON
Last Name:CREED
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MANNING DRIVE CAMPUS BOX #7025
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7235
Mailing Address - Country:US
Mailing Address - Phone:919-966-8162
Mailing Address - Fax:919-966-2922
Practice Address - Street 1:170 MANNING DRIVE CAMPUS BOX #7025
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-2902
Practice Address - Country:US
Practice Address - Phone:919-966-8162
Practice Address - Fax:919-966-2922
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRTL21-0496390200000X
390200000X
NC2021-026292084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program