Organization Active NPI

Coastal Carolina Neurology, P.a.

  • Specialist
  • New Bern, NC
National Provider Identifier
1417281965
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10389 Issued in NC
Legal business name
COASTAL CAROLINA NEUROLOGY, P.A.
Practice address
2402 Martin Luther King Jr Blvd
New Bern, NC 28562-4424
Phone
(252) 634-2900
Fax
(252) 634-2920
NPI assigned
Sep 30, 2009
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Claudia Yalden
Title
Billing
Phone
(252) 634-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10389 NC Primary

Addresses

Primary practice location

2402 Martin Luther King Jr Blvd
New Bern, NC 28562-4424

Mailing address

2402 Martin Luther King Blvd
New Bern, NC 28562-4424
Phone (252) 634-2900

National Provider Directory

National Provider Directory

Locations

1136 Hwy 258 N
Ste B
Kinston, NC 28504
Phone (252) 634-2900

2402 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 633-3128

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1417281965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 MARTIN LUTHER KING BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624424",
            "telephone_number": "252-634-2900",
            "fax_number": "252-634-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 MARTIN LUTHER KING JR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624424",
            "telephone_number": "252-634-2900",
            "fax_number": "252-634-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA NEUROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "YALDEN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "252-634-2900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "10389",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 3, 2010; 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.