Active NPI
De Benjamin Winter III, M.D.
- Emergency Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2011-00277
- Practice address
- 4402 Shipyard Blvd
Wilmington, NC 28403-6161 - Phone
- (302) 733-3904
- NPI assigned
- Mar 13, 2007
- Last updated
- Jul 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C7-0003443 | DE | |
| Emergency Medicine Physician | 207P00000X | 2011-00277 | NC | Primary |
| Internal Medicine Physician | 207R00000X | C7-0003443 | DE |
Addresses
Primary practice location
4402 Shipyard Blvd
Wilmington, NC 28403-6161
Mailing address
1213 Verandah Way
Wilmington, NC 28411-9268
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0003443 | DE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecep II PA | Emergency Medicine | Current | Accepting new patients |
| Novant Health Medical Group Coastal Region, LLC | Internal Medicine | Current | Accepting new patients |
| NMG Health Services LLC | Current | Accepting new patients | |
| Ecep II PA | Emergency Medicine | Current | Accepting new patients |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Past | Accepting new patients |
Locations
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
151 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 662-8440
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
4402 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 202-3363
5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100
Interoperability endpoints
- dwinter1253416@direct.novanthealth.org
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.
-
- Emergency Medicine Physician
- Burgaw, NC
- NPI 1255407680
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Emergency Medicine Physician
- Wilmington, NC
- NPI 1558755165
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
dba Nhmgcr Hospitalist
- Hospitalist Physician
- Wilmington, NC
- NPI 1447845599
Internal Medicine
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1205969953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 VERANDAH WAY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284119268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036161",
"telephone_number": "302-733-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTER",
"first_name": "DE",
"middle_name": "BENJAMIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DE",
"license": "C7-0003443",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2011-00277",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C7-0003443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Khristine Marie Winstead, LCMHCA, LCASA
- Eleanor Winston
- Winter Park Discount Drug Nilkanth Inc. (Winter Park Drug)
- Winter Park Discount Drug Nilkanth Inc. (Winter Park Drug Store Inc)
- Winter Park Discount Drug Nilkanth Inc. (Winter Park Discount Drugs)
- Jonathan Winter, MD
- Ryan Winter
- Megan Broadwell Winters, PMHNP-BC
- Brianne Leigh Winterton, LCSW
- Wirick & Associates DDS PA of Wilmington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.