Individual provider Active NPI

Randal Paul Bast, MD

  • Surgery Physician
  • Lenoir, NC
National Provider Identifier
1245335090
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9800782 Issued in NC
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8911454MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000884 NC Practitioner - General Surgery 5799964599 Reassigns benefits to 1 organization

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
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians

Practice addresses (Care Compare)

1031 Morganton Blvd SW
Lenoir, NC 28645-5677
Phone (828) 757-8240

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9800782NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Oct 1, 2014 Accepting new patients
Caldwell Memorial Hospital, Inc Surgery CurrentSince Oct 1, 2014 Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Horizon Surgical Specialists PA Surgery PastSince Feb 1, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.