Active NPI
James Edwin Drake, MD
- Diagnostic Radiology Physician
- New Bern, NC
National Provider Identifier
1063731487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 15905
- Practice address
- 722 Newman Rd
New Bern, NC 28562-5238 - Phone
- (843) 467-2676
- Fax
- (843) 497-9566
- NPI assigned
- May 25, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 15905 | NC | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 15905 | NC | |
| Body Imaging Physician | 2085B0100X | 15905 | NC | |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 15905 | NC | |
| Diagnostic Ultrasound Physician | 2085U0001X | 15905 | NC | |
| Neuroradiology Physician | 2085N0700X | 15905 | NC | |
| Nuclear Radiology Physician | 2085N0904X | 15905 | NC | |
| Pediatric Radiology Physician | 2085P0229X | 15905 | NC | |
| Radiation Oncology Physician | 2085R0001X | 15905 | NC | |
| Radiological Physics Physician | 2085R0205X | 15905 | NC | |
| Therapeutic Radiology Physician | 2085R0203X | 15905 | NC | |
| Nuclear Medicine Physician | 207U00000X | 15905 | NC |
Addresses
Primary practice location
722 Newman Rd
New Bern, NC 28562-5238
Mailing address
PO Box 3099
Myrtle Beach, SC 29578-3099
Phone (843) 467-2676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4039 | NC | MD | General Practice Dentistry |
| 15905 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Pathology PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Loris, SC
- NPI 1538139795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1063731487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3099",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295783099",
"telephone_number": "843-467-2676",
"fax_number": "843-497-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 NEWMAN RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625238",
"telephone_number": "843-467-2676",
"fax_number": "843-497-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "JAMES",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-25",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "15905",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NC",
"license": "15905",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NC",
"license": "15905",
"primary": false
}
],
"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 Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.