NPIMap

Organization Active NPI

Goshen Medical Center Incorporated

Doing business as Goshen Medical Center-Bridgeton

  • Federally Qualified Health Center (FQHC)
  • New Bern, NC
National Provider Identifier
1316764046
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GOSHEN MEDICAL CENTER INCORPORATED
Doing business as
Goshen Medical Center-Bridgeton
Practice address
530 NC 55 Highway East
New Bern, NC 28560
Phone
(252) 497-7969
NPI assigned
Sep 24, 2024
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Gregory M Bounds
Title
Ceo
Phone
(910) 267-1237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

530 NC 55 Highway East
New Bern, NC 28560

Mailing address

PO Box 187
Faison, NC 28341-0187

Other names 1

  • Goshen Medical Center-Bridgeton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250508002710 NC Part A Provider - Federally Qualified Health Center (FQHC) 3173434479 Practice locations: New Bern, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316764046. Details of each certification follow.

Federally qualified health center certification: CCN B61060

Legal name
GOSHEN MEDICAL CENTER INCORPORATED
Doing business as
GOSHEN MEDICAL CENTER-BRIDGETON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 14, 2024
Last certification
Nov 14, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
530 NC 55 Highway East
New Bern, NC 28560

National Provider Directory

National Provider Directory
Tax ID family
Goshen Medical Ctr42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

530 NC Highway 55 E
New Bern, NC 28560
Phone (252) 497-7969

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rhonda Barwick Individual Corporate OfficerDeputy Ceo Sep 27, 2001
W-2 Managing EmployeeDeputy Ceo Sep 27, 2001
Operational/Managerial ControlDeputy Ceo Sep 27, 2001
Chester Aycock Individual Corporate DirectorBoard Member Feb 1, 2008
Tanty Freeman Individual Corporate DirectorBoard Member Feb 1, 2008
Patricia a Davis Individual Corporate DirectorBoard Member Feb 1, 2008
Gregory M Bounds Individual Corporate OfficerCeo Jul 17, 2001
W-2 Managing EmployeeCeo Jul 17, 2001
Operational/Managerial ControlCeo Jul 17, 2001
Melba Harrell Individual Corporate DirectorBoard Member May 1, 2023
Sybil Merkison Individual Corporate DirectorBoard Member May 1, 2023
Emma Brinson Individual Corporate DirectorBoard Member May 1, 2024
James Roa Individual Corporate DirectorBoard Member Feb 1, 2008
Mattie P Atkinson Individual Corporate DirectorBoard Member Feb 1, 2008

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Goshen Medical Center-Whiteville Mobile UnitWhiteville, NC, CCN 341007 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2012
Goshen Medical Center-Cape FearFayetteville, NC, CCN 341012 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 1, 2014
Goshen Medical Center-New BernNew Bern, NC, CCN 341022 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 25, 2014
Goshen Medical Center-FairviewClinton, NC, CCN 341019 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
Goshen Medical Center - DunnDunn, NC, CCN 341083 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 4, 2017
Goshen Medical Center - New BernNew Bern, NC, CCN B61075 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 2, 2025
Goshen Medical Center - WilmingtonWilmington, NC, CCN B61090 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) May 29, 1979

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1316764046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283410187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NC 55 HIGHWAY EAST",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "28560",
            "telephone_number": "252-497-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN MEDICAL CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "BOUNDS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-267-1237"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goshen Medical Center-Bridgeton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.