Jared James Bomba, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2025-02385 Issued in NC

Practice address

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Phone

(252) 744-4757

Fax

(252) 744-5014

NPI assigned

Mar 30, 2021

Last updated

Jun 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Emergency Medicine

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Carolina UniversityGroup PAC ID 0244143246, shared by 3 NPIs, 499 clinicians

Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
• Ecu Health Bertie Hospital Hospital, Windsor, NC, CCN 341304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment Care Compare group NPD
• Outer Banks Professional Services, LLC

  dba Outer Banks Hospital Urgent Care

  • Multi-Specialty Clinic/Center
  • Nags Head, NC
  • NPI 1891050357
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Carolina Health - Chowan Inc

  dba ECU Health Chowan Hospital

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation
• East Carolina Health-Bertie

  dba ECU Health Bertie Hospital

  • Critical Access Hospital
  • Windsor, NC
  • NPI 1013999705
  Care Compare affiliation

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1427636729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-744-4757",
            "fax_number": "252-744-5014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Rhodes Ave",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "NC",
            "postal_code": "279839656",
            "country_code": "US",
            "telephone_number": "252-642-4145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Virginia Rd",
            "address_purpose": "LOCATION",
            "city": "Edenton",
            "state": "NC",
            "postal_code": "279329668",
            "country_code": "US",
            "telephone_number": "252-482-8451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Smith Church Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke Rapids",
            "state": "NC",
            "postal_code": "278704914",
            "country_code": "US",
            "telephone_number": "252-535-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMBA",
        "first_name": "JARED",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2025-02385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbomba446818@direct.ecuhealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Camryn Jaden Bolick
• Sabrina Bolick, NP
• Linda Bolin, RN, ANP
• Paul Bolin Jr., M.D.
• Charles J Boltinhouse, CPED
• Tiffany Lee Bonafe, DO
• Aaron Bond, M.D.
• Charmaine Yolanda Bond, LCSW
• Vanessia C. Bond, MSW, LCSW
• James Martin Bonnett, CPED

• Emergency Medicine Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.