East Columbus Primary Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EAST COLUMBUS PRIMARY CARE PA

Practice address

27443 Andrew Jackson Hwy E
Delco, NC 28436-8822

Phone

(910) 655-1980

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Richard Catoe Bumgardner, MDNPI 1649295726

Title

President

Phone

(910) 655-1980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15279/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Catoe Bumgardner, MD

  • Internal Medicine Physician
  • Delco, NC
  • NPI 1649295726
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1447282835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27443 ANDREW JACKSON HWY E",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "284368822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27443 ANDREW JACKSON HWY E",
            "city": "DELCO",
            "state": "NC",
            "postal_code": "284368822",
            "telephone_number": "910-655-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COLUMBUS PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "BUMGARDNER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CATOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-655-1980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E. Corbin, LPC, LCAS
• Delco Health Clinic
• Delco Urgent Care
• Delco Urgent Care LLC
• Elizabeth Burgess Downing, RPH
• Autumn Nicole Fields
• Lashoney Jermell Frink
• Nancy Clare Johnson, LCSW
• Kah Development 14, LLC
• Leigh Ann Lane, MCHES

• Internal Medicine Physician in Delco, NC
• Providers in Delco, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.