Jared James Bomba, MD
Individual provider Active NPI Emergency Medicine Physician · Greenville, NC
NPI 1427636729 · NPPES record last updated Jun 26, 2026
Key facts
- NPI
- 1427636729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2025-02385 (NC)
- Practice address
- 2100 Stantonsburg Rd
Greenville, NC 27834-2818 - Phone
- (252) 744-4757
- Fax
- (252) 744-5014
- NPI assigned
- Mar 30, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Carolina University
Vidant Medical Group LLC
Practice addresses (Care Compare)
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 209-3000
211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-6219
Hospital & facility affiliations
- Vidant Chowan Hospital
- Ecu Health Bertie Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251105003681 | NC | Practitioner - Emergency Medicine | 0244633782 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-02385 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current |
Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500
250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2025-02385 | NC | Yes |
Addresses
Primary practice location
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Other practice location 1
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8011
Other practice location 2
104 Rhodes Ave
Windsor, NC 27983-9656
Phone (252) 642-4145
Other practice location 3
211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-8451
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbomba446818@direct.ecuhealth.com | Health Information Exchange (HIE) |
Other providers in Greenville, NC
- Camryn Jaden Bolick
- Sabrina Bolick
- Linda Bolin
- Paul Bolin Jr.
- Charles J Boltinhouse
- Tiffany Lee Bonafe
- Charmaine Yolanda Bond
- Vanessia C. Bond
- James Martin Bonnett
- Meredith Bonnette
All providers in Greenville, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.