Bear Island Recovery Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BEAR ISLAND RECOVERY SERVICES, INC.

Practice address

1150 Cedar Point Blvd
Cedar Point, NC 28584-8022

Phone

(828) 273-1643

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grady B Jefferys Jr., PHDNPI 1306039177

Title

President & Ceo

Phone

(828) 273-1643

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Opioid treatment program

Medicare-enrolled since May 17, 2022

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

Practitioners 2

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.

• Grady B. Jefferys Jr., PH.D.

  • Professional Counselor
  • Asheville, NC
  • NPI 1306039177
  Authorized official Same address or phone
• Erica Paige Nichols, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Cedar Point, NC
  • NPI 1902668320
  NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1497331102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 CEDAR POINT BLVD",
            "address_2": "PMB 242",
            "city": "CEDAR",
            "state": "NC",
            "postal_code": "28584",
            "telephone_number": "828-273-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CEDAR POINT BLVD",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848022",
            "telephone_number": "828-273-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR ISLAND RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "JEFFERYS",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "828-273-1643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quynh N Akers
• Aspire Products, LLC
• Cheyanne Bierly
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Sea Spray)
• Kristine M Britten, RDH
• William E Bylund, MD
• Cape Carteret Family Medicine PA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cedar Point, NC
• Providers in Cedar Point, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.