Individual provider Active NPI

Bertha Bowen Hambidge, MD

  • Psychiatry Physician
  • Fort Bragg, NC
National Provider Identifier
1043824998
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31994 Issued in NC
Practice address
2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-4052
Phone
(910) 907-8922
Fax
(910) 907-6069
NPI assigned
Sep 8, 2020
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 31994 NC Primary

Addresses

Primary practice location

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-4052

Mailing address

2817 Rock Merritt Ave Womack Army Medical Center
Fort Bragg, NC 28310-0001
Phone (910) 907-6069

Other practice location 1

214 Johnson St
New Bern, NC 28560-4052
Phone (252) 670-0337

Other names 1

  • Dr. Bertha Bowen Hambidge Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309000945 NC Practitioner - Psychiatry 7911313440 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31994NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port Health Services CurrentSince Jan 11, 2021 Accepting new patients
New Dawn Psychiatric Services, PLLC CurrentSince May 1, 2025 Accepting new patients
Port Health Services CurrentSince Jan 11, 2021 Accepting new patients
Port Health Services Current Accepting new patients
Port Health Services CurrentSince Sep 5, 2022 Accepting new patients
Anesthesia Services Associates, PLLC PastSince May 1, 2025 Accepting new patients

Locations

201 N Spence Ave
Goldsboro, NC 27534
Phone (252) 686-8091

2602 Courtier Dr
Greenville, NC 27834
Phone (252) 355-4725

4300 Sapphire Ct
Ste 110
Greenville, NC 27834
Phone (252) 830-7540

111 Airport Rd
Kinston, NC 28501
Phone (252) 527-2390

1309 Tatum Dr
New Bern, NC 28560
Phone (252) 672-2141

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1043824998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-6069",
            "fax_number": "910-907-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283104052",
            "telephone_number": "910-907-8922",
            "fax_number": "910-907-6069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Johnson St",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285604052",
            "country_code": "US",
            "telephone_number": "252-670-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBIDGE",
        "first_name": "BERTHA",
        "middle_name": "BOWEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "31994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERTHA",
            "last_name": "HAMBIDGE",
            "middle_name": "BOWEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.