NPIMap

Organization Active NPI

East Carolina University

Doing business as ECU Physicians

  • Family Medicine Physician
  • Bethel, NC
National Provider Identifier
1649229667
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAST CAROLINA UNIVERSITY
Doing business as
ECU Physicians
Practice address
110 Railroad Street
Bethel Family Medicine Center
Bethel, NC 27812
Phone
(252) 825-0355
Fax
(252) 825-0350
NPI assigned
May 8, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Nicholas H. Benson, MD
Title
Medical Director
Phone
(252) 744-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

110 Railroad Street
Bethel Family Medicine Center
Bethel, NC 27812

Mailing address

PO Box 751069
Charlotte, NC 28275-1069
Phone (252) 744-3253

Other identifiers 3

IdentifierTypeStateIssuer
8907017MedicaidNC
03015OtherNCBCBS NC GROUP PROVIDER #
8903015MedicaidNC

Other names 1

  • ECU Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Carolina University Student Health Service64 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

110 Railroad St W
Bethel, NC 27812
Phone (252) 816-4618

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1649229667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069",
            "telephone_number": "252-744-3253",
            "fax_number": "252-744-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RAILROAD STREET",
            "address_2": "BETHEL FAMILY MEDICINE CENTER",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "27812",
            "telephone_number": "252-825-0355",
            "fax_number": "252-825-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "252-744-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8907017",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC GROUP PROVIDER #",
            "identifier": "03015",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8903015",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.