Organization Active NPI

Harborside Care

  • Psychiatry Physician
  • New Bern, NC
National Provider Identifier
1326168980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
HARBORSIDE CARE
Practice address
2807 Neuse Blvd
New Bern, NC 28562-2815
Phone
(252) 636-2990
Fax
(252) 637-6011
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas A Bull, MD
Title
Owner
Phone
(252) 636-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2807 Neuse Blvd
New Bern, NC 28562-2815

Mailing address

2807 Neuse Blvd
New Bern, NC 28562-2815
Phone (252) 636-2990

Other identifiers 1

IdentifierTypeStateIssuer
89136F7MedicaidNC

National Provider Directory

National Provider Directory

Locations

2807 Neuse Blvd
Ste 10
New Bern, NC 28562
Phone (252) 636-2990

2807 Neuse Blvd
New Bern, NC 28562
Phone (252) 636-2990

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326168980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622815",
            "telephone_number": "252-636-2990",
            "fax_number": "252-637-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622815",
            "telephone_number": "252-636-2990",
            "fax_number": "252-637-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-636-2990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136F7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.