Active NPI
Mark Graham Wertman, M.D.
- Orthopaedic Surgery Physician
- New Bern, NC
National Provider Identifier
1538167010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 29051
- Practice address
- 738 Newman Rd
New Bern, NC 28562-5238 - Phone
- (252) 634-2676
- Fax
- (252) 633-3502
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 29051 | NC | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 29051 | NC |
Addresses
Primary practice location
738 Newman Rd
New Bern, NC 28562-5238
Mailing address
738 Newman Rd
New Bern, NC 28562-5238
Phone (252) 634-2676
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8986586 | Medicaid | NC | |
| P00448293 | Other | NC | RAILROAD MEDICARE |
| 86586 | Other | NC | BCBSNC |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29051 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of North Carolina PC | Orthopaedic Surgery | Current | Accepting new patients |
| East Carolina Orthopaedics, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
| East Carolina Orthopaedics, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
2007 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-0361
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- New Bern, NC
- NPI 1780949032
-
- Orthopaedic Surgery Physician
- New Bern, NC
- NPI 1346205556
-
- Orthopaedic Surgery Physician
- New Bern, NC
- NPI 1649322199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1538167010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 NEWMAN RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625238",
"telephone_number": "252-634-2676",
"fax_number": "252-633-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 NEWMAN RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625238",
"telephone_number": "252-634-2676",
"fax_number": "252-633-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERTMAN",
"first_name": "MARK",
"middle_name": "GRAHAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "29051",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NC",
"license": "29051",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8986586",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00448293",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "86586",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.