Active NPI
Randal Paul Bast, MD
- Surgery Physician
- Lenoir, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9800782
- Practice address
- 1031 Morganton Blvd SW
Lenoir, NC 28645-5677 - Phone
- (828) 757-8240
- Fax
- (828) 757-8241
- NPI assigned
- Sep 14, 2006
- Last updated
- Mar 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9800782 | NC | Primary |
Addresses
Primary practice location
1031 Morganton Blvd SW
Lenoir, NC 28645-5677
Mailing address
1031 Morganton Blvd SW
Lenoir, NC 28645-5677
Phone (828) 757-8240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8911454 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbast107728@direct.UNC.nchie.net | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1031 Morganton Blvd SW
Lenoir, NC 28645-5677
Phone (828) 757-8240
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9800782 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell Memorial Hospital Inc. | Current | Accepting new patients | |
| Caldwell Memorial Hospital, Inc | Surgery | Current | Accepting new patients |
| Caldwell Memorial Hospital, Inc. | Current | Accepting new patients | |
| Horizon Surgical Specialists PA | Surgery | Past | Accepting new patients |
| Caldwell Memorial Hospital, Inc | Past | Accepting new patients |
Locations
1031 Morganton Blvd SW
Ste C
Lenoir, NC 28645
Phone (828) 757-6488
321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100
401 Mulberry St SW
Ste 101
Lenoir, NC 28645
Phone (828) 757-5916
Interoperability endpoints
- rbast107728@direct.unc.nchie.net
Organizations & group practices 5
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.
-
dba McCreary Cancer Center
- Medical Oncology Physician
- Lenoir, NC
- NPI 1922426220
-
dba UNC Health Caldwell Radiology Associates
- Diagnostic Radiology Physician
- Lenoir, NC
- NPI 1255221180
-
dba Foothills Dialysis Access
- Surgery Physician
- Lenoir, NC
- NPI 1346658531
-
dba Mulberry Pediatrics
- Pediatrics Physician
- Lenoir, NC
- NPI 1922013457
-
- Vascular Surgery Physician
- Lenoir, NC
- NPI 1225142011
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lenoir, NC
- NPI 1114974029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1245335090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 MORGANTON BLVD SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455677",
"telephone_number": "828-757-8240",
"fax_number": "828-757-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 MORGANTON BLVD SW",
"city": "LENOIR",
"state": "NC",
"postal_code": "286455677",
"telephone_number": "828-757-8240",
"fax_number": "828-757-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAST",
"first_name": "RANDAL",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "9800782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911454",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbast107728@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1031 Morganton Blvd SW",
"city": "Lenoir",
"state": "NC",
"country_code": "US",
"postal_code": "286455677",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lenoir, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.
- 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.