Active NPI
Coastal Orthopaedics & Spinal Surgery PA
- Orthopaedic Surgery Physician
- New Bern, NC
National Provider Identifier
1114110509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- COASTAL ORTHOPAEDICS & SPINAL SURGERY PA
- Practice address
- 612B McCarthy Blvd
New Bern, NC 28562-5231 - Phone
- (252) 635-1788
- Fax
- (252) 635-3053
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian J Battersby, Jr, MD
- Title
- Physician/Owner
- Phone
- (252) 635-1788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
612B McCarthy Blvd
New Bern, NC 28562-5231
Mailing address
612B McCarthy Blvd
New Bern, NC 28562-5231
Phone (252) 635-1788
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8913783 | Medicaid | ND | |
| 020HM | Other | NC | BCBS OF NC |
| F06712 | Other | NC | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040731000095 | NC | Part B Supplier - Clinic/Group Practice | 5092785451 |
Receives reassigned benefits from 3 practitioners Practice locations: New Bern, NC |
National Provider Directory
National Provider DirectoryLocations
3310 Trent Rd
New Bern, NC 28562
Phone (252) 636-0035
612B McCarthy Blvd
New Bern, NC 28562
Phone (252) 635-1788
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Pollocksville, NC
- NPI 1245223379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1114110509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612B MCCARTHY BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625231",
"telephone_number": "252-635-1788",
"fax_number": "252-635-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612B MCCARTHY BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625231",
"telephone_number": "252-635-1788",
"fax_number": "252-635-3053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL ORTHOPAEDICS & SPINAL SURGERY PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "BATTERSBY, JR",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "252-635-1788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8913783",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "020HM",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "F06712",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
- Coastal Eye Clinic, PA
- Coastal Horizons Center Inc.
- Coastal Learning Resources
- Coastal Neurology Associates
- Coastal Oncology & Hematology PA
- Coastal Orthopaedics and Spinal Surgery, PA
- Coastal Physical Medicine & Rehabilitation Services, Inc.
- Coastal Radiology Associates, PLLC
- Coastal Surgical Specialists P a
- Colby Cockrell, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.