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

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., PHD

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 1

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

• 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.
• 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.