Individual provider Active NPI

Edward Tremayne Powell

  • Phlebotomy Technician
  • Tarboro, NC
National Provider Identifier
1346190105
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
0954577817EP Issued in NC
Practice address
319 W Northern Blvd
Tarboro, NC 27886-2452
Phone
(252) 343-7002
NPI assigned
Jan 31, 2026
Last updated
Jan 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X 0954577817EP NC Primary

Addresses

Primary practice location

319 W Northern Blvd
Tarboro, NC 27886-2452

Mailing address

319 W Northern Blvd
Tarboro, NC 27886-2452
Phone (252) 343-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0954577817EPNCMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Manifest, LLC Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1769817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1346190105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W NORTHERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862452",
            "telephone_number": "252-343-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W NORTHERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862452",
            "telephone_number": "252-343-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "EDWARD",
        "middle_name": "TREMAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-31",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NC",
            "license": "0954577817EP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.