Adam Bryce McKenzie, D.O.
Individual provider Active NPI Pulmonary Disease Physician · New Bern, NC
NPI 1639433428 · NPPES record last updated Dec 27, 2023
Key facts
- NPI
- 1639433428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 2018-01311 (NC)
- Practice address
- 702 Newman Rd
New Bern, NC 28562-5238 - Phone
- (252) 633-5333
- Fax
- (252) 633-9443
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Carolina Health Care PA
Carolinaeast Physicians
Practice addresses (Care Compare)
1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-2240
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 637-9298
Hospital & facility affiliations
- Carolina East Medical Center
- Carteret General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180822001276 | NC | Practitioner - Pulmonary Disease |
5597048041 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019781 | MI | MD | Internal Medicine Physician |
| 2018-01311 | NC | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Carolina Health Care PA | Current | Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Coastal Carolina Health Care PA | Current |
Accepting new patients | |
| Coastal Carolina Health Care PA | Current |
Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Coastal Carolina Health Care PA | Internal Medicine | Current | Accepting new patients |
| Carolinaeast Physicians | Internal Medicine | Current | Accepting new patients |
| Coastal Carolina Health Care PA | Internal Medicine | Past | Accepting new patients |
Locations
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
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
941 Newman Rd
New Bern, NC 28562
Phone (252) 634-3278
Interoperability endpoints
- amckenzie21577@carolinaeastmc.direct-ci.com
- amckenzie27023@coastalcarolinahealthcenter.gardenplot.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101019781 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 2018-01311 | NC | Yes |
Addresses
Primary practice location
702 Newman Rd
New Bern, NC 28562-5238
Mailing address
PO Box 12248
New Bern, NC 28561-2248
Phone (252) 514-6685
Other providers in New Bern, NC
- Kevin E. McGinnis
- Lisa Pantano McGinty
- Victoria Hardy McGowen
- David Francis McGuire
- Tracy McIlwean
- Kasey McKnight
- McLaughlin Chiropractic Center-New Bern PLLC
- Robert Joseph McLaughlin Jr.
- Devonte McLemore
- Kelly McManus
All providers in New Bern, NC · Pulmonary Disease Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.