Organization Active NPI

New Bern Medicine and Sports

  • Specialist
  • New Bern, NC
National Provider Identifier
1023217296
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEW BERN MEDICINE AND SPORTS
Practice address
1319 S Glenburnie Rd Ste D
New Bern, NC 28562-2615
Phone
(252) 633-3744
Fax
(252) 634-2920
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Sanjay Kumar, MDNPI 1508915216
Title
MD
Phone
(252) 635-1699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NC Primary

Addresses

Primary practice location

1319 S Glenburnie Rd Ste D
New Bern, NC 28562-2615

Mailing address

PO Box 13727
New Bern, NC 28561-3727
Phone (252) 635-1699

National Provider Directory

National Provider Directory

Locations

1319 S Glenburnie Rd
New Bern, NC 28562
Phone (252) 635-1699

1319 S Glenburnie Rd
Ste D
New Bern, NC 28562
Phone (252) 633-3744

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1023217296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13727",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285613727",
            "telephone_number": "252-635-1699",
            "fax_number": "252-634-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S GLENBURNIE RD STE D",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622615",
            "telephone_number": "252-633-3744",
            "fax_number": "252-634-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BERN MEDICINE AND SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "252-635-1699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.