East Carolina Health-Bertie

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

H0268 Issued in NC

Legal business name

EAST CAROLINA HEALTH-BERTIE

Doing business as

Bertie Memorial Hospital
ECU Health Bertie Hospital

Practice address

1403 S King St
Windsor, NC 27983-9666

Phone

(252) 794-6600

NPI assigned

Jan 6, 2006

Last updated

Mar 18, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

EAST CAROLINA HEALTH-BERTIEAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brian J Harvill

Title

President

Phone

(252) 794-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Bertie Memorial Hospital Doing business as
• ECU Health Bertie Hospital Doing business as

Tax ID family

East Carolina Health-Bertie2 organizations share this tax ID, including this one

Part of

East Carolina Health-Bertie

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Carolina Health-Bertie

  dba ECU Health Bertie Hospital

  • Critical Access Hospital
  • Windsor, NC
  • NPI 1013999705
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1003894304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279830040",
            "telephone_number": "252-794-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S KING ST",
            "city": "WINDSOR",
            "state": "NC",
            "postal_code": "279839666",
            "telephone_number": "252-794-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA HEALTH-BERTIE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CAROLINA HEALTH-BERTIE",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "HARVILL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-794-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "H0268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CRNA GROUP #",
            "identifier": "0003A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000331",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bertie Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECU Health Bertie Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Lauren Fitzgerald OD PA
• Destination Hope, Inc.
• Raghunath Doppalapudi, RPH
• Down East Home Care Agency Inc
• Down East Home Care Agency, Inc.
• East Carolina Health-Bertie (ECU Health Bertie Hospital)
• East Carolina Health-Bertie (Bertie Memorial Hospital)
• East Carolina Health-Bertie (ECU Health Family Medicine-Windsor, a department of ECU Health Bertie)
• East Carolina Health-Bertie (Professional ED Billing Bertie Memorial Hospital)
• Eastern Home Health Care, Inc.

• Certified Registered Nurse Anesthetist in Windsor, NC
• Providers in Windsor, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.