Individual provider Active NPI

Richard Adam Koch, MD

  • Emergency Medicine Physician
  • Camp Lejeune, NC
National Provider Identifier
1215908199
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2005-01664 Issued in NC
Practice address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Phone
(910) 450-4799
Fax
(910) 450-4452
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2005-01664 NC Primary

Addresses

Primary practice location

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Mailing address

US Marine Forces Command 1775 Forrestal Dr BLDG 33
Norfolk, VA 23551-0001
Phone (619) 717-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110523000417 CA Practitioner - Emergency Medicine 8325224637 Reassigns benefits to 1 organization
I20210708001871 NC Practitioner - Emergency Medicine 8325224637 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Eastern Virginia Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brunswick Community Hospital LLCGroup PAC ID 9335150895, 33 clinicians

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044

240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (336) 399-7678

9104 Market St
Wilmington, NC 28411-7994
Phone (910) 686-2840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2005-01664NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ecep II PA Emergency Medicine Current Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Jan 27, 2024 Accepting new patients
Brunswick Community Hospital, LLC CurrentSince Jan 27, 2024 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Jan 27, 2024 Accepting new patients
Brunswick Physician Partners, PLLC Emergency Medicine CurrentSince Oct 25, 2023 Accepting new patients
Tarheel Emergency Group, PLLC Emergency Medicine CurrentSince Oct 25, 2023 Accepting new patients
Ecep II PA Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Columbus Emergency Group LLC Emergency Medicine CurrentSince May 30, 2021 Accepting new patients
Brunswick Community Hospital, LLC PastSince Oct 13, 2024 Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

Interoperability endpoints

  • Direct secure messaging: rkoch@crhn.cernerdirect.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: rkoch1170979@direct.novanthealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1215908199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "US MARINE FORCES COMMAND 1775 FORRESTAL DR BLDG 33",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235510001",
            "telephone_number": "619-717-2526",
            "fax_number": "619-717-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472575",
            "telephone_number": "910-450-4799",
            "fax_number": "910-450-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "RICHARD",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2005-01664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

Verify at the official NPI Registry.