Active NPI
Edwin Phillip Bounous Jr., MD
- Internal Medicine Physician
- New Bern, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28138
- Practice address
- 730 Newman Rd
New Bern, NC 28562-5238 - Phone
- (252) 634-9090
- Fax
- (252) 634-9915
- NPI assigned
- May 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28138 | NC | Primary |
Addresses
Primary practice location
730 Newman Rd
New Bern, NC 28562-5238
Mailing address
PO Box 12248
New Bern, NC 28561-2248
Phone (252) 634-9090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17082 | Other | NC | BCBS OF NC |
| 8917082 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28138 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Health Care PA | Current | Accepting new patients | |
| Carolinaeast Medical Center | Past | Accepting new patients |
Locations
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
702 Newman Rd
New Bern, NC 28562
Phone (252) 633-5333
1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678
1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685
730 Newman Rd
New Bern, NC 28562
Phone (252) 634-9090
Organizations & group practices 2
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.
-
- Family Medicine Physician
- New Bern, NC
- NPI 1366498297
-
- Primary Care Clinic/Center
- Vanceboro, NC
- NPI 1164476834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1548214976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12248",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285612248",
"telephone_number": "252-634-9090",
"fax_number": "252-634-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 NEWMAN RD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285625238",
"telephone_number": "252-634-9090",
"fax_number": "252-634-9915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUNOUS",
"first_name": "EDWIN",
"middle_name": "PHILLIP",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "28138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "17082",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8917082",
"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 Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.