Bladen Urgent Care

Primary specialty

Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X

License

H0154 Issued in NC

Legal business name

BLADEN URGENT CARE

Doing business as

Surgical Specialist for Bladen County

Practice address

300A E McKay St
Elizabethtown, NC 28337-9037

Phone

(910) 862-1272

Fax

(910) 862-5501

NPI assigned

Jul 5, 2006

Last updated

Aug 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Fiser

Title

VP Corporate Revenue Cycle/Managed

Phone

(910) 615-5572

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SURGICAL SPECIALIST FOR BLADEN COUNTY Doing business as

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1114958576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A E MCKAY ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379037",
            "telephone_number": "910-862-1272",
            "fax_number": "910-862-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADEN URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP CORPORATE REVENUE CYCLE/MANAGED",
        "authorized_official_telephone_number": "910-615-5572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "NC",
            "license": "H0154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015UF",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "015UF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURGICAL SPECIALIST FOR BLADEN COUNTY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SURGICAL SPECIALIST FOR BLADEN COUNTY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bladen Healthcare, LLC (Cape Fear Valley - Bladen County Hospital (Cardiopulmonary Department))
• Bladen Healthcare, LLC (Cape Fear Valley - Bladen County Hospital (Anesthesia Department))
• Bladen Healthcare, LLC (Cape Fear Valley - Bladen Urgent Care)
• Bladen Medical Associates
• Bladen Transit LLC
• Christine Michelle Borza, PTA
• Kimberly Humphrey Brailsford
• Deborah H Brisson
• Cynthia Britt
• Jerri Ann Uhlir Britt, PHARM D

• Clinic/Center in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.