Bladen Medical Associates

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

200746 Issued in NC

Legal business name

BLADEN MEDICAL ASSOCIATES

Practice address

16 3Rd Street
Dublin, NC 28332

Phone

(910) 862-3528

Fax

(910) 862-2207

NPI assigned

Apr 3, 2007

Last updated

Aug 7, 2008By 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

Mrs. Donna L Bowen

Title

Administrative Assistant

Phone

(910) 862-5507

Specialties & licenses 2

Addresses

Other identifiers 5

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bladen Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bladen Medical Associates

  • Nurse Practitioner
  • Bladenboro, NC
  • NPI 1316068307
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice Allen Pulley, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Whiteville, NC
  • NPI 1184923872
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1205957214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "DUBLIN",
            "state": "NC",
            "postal_code": "283320087",
            "telephone_number": "910-862-3528",
            "fax_number": "910-862-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 3RD STREET",
            "city": "DUBLIN",
            "state": "NC",
            "postal_code": "28332",
            "telephone_number": "910-862-3528",
            "fax_number": "910-862-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADEN MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "910-862-5507",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "200746",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225127459",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "29651",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295824910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348935A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8971626",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashmar Home Care Inc.
• Bladen Healthcare, LLC (Cape Fear Valley BMA Dublin)
• Matthew J Fell, DDS
• Rebecca Faye Hehl
• Sonja Durden Hilburn, FNP-BC
• Gregory Carl Hohl Sr., DDS
• Hollis Lee Jones, D.D.S.

• Nurse Practitioner in Dublin, NC
• Providers in Dublin, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.