Individual provider Active NPI

Edwin Phillip Bounous Jr., MD

  • Internal Medicine Physician
  • New Bern, NC
National Provider Identifier
1548214976
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28138 Issued in NC
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

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
17082OtherNCBCBS OF NC
8917082MedicaidNC

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

LicenseStateTypeSpecialty
28138NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.