NPIMap

Organization Active NPI

East Carolina Orthopaedics, PLLC

Doing business as Coastal Carolina Sports Medicine Center

  • Orthopaedic Surgery Physician
  • New Bern, NC
National Provider Identifier
1649322199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
EAST CAROLINA ORTHOPAEDICS, PLLC
Doing business as
Coastal Carolina Sports Medicine Center
Practice address
2007 Neuse Blvd
New Bern, NC 28560-3454
Phone
(252) 633-0361
Fax
(252) 633-2577
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William Bradford Wheatley, M.D.NPI 1740288224
Title
Partner
Phone
(252) 633-0361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

2007 Neuse Blvd
New Bern, NC 28560-3454

Mailing address

PO Box 1694
New Bern, NC 28563-1694
Phone (252) 633-0361

Other identifiers 2

IdentifierTypeStateIssuer
8901804MedicaidNC
01804OtherNCBCBSNC

Other names 1

  • Coastal Carolina Sports Medicine Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coastal Carolina Sports Medicine Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649322199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1694",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285631694",
            "telephone_number": "252-633-0361",
            "fax_number": "252-633-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603454",
            "telephone_number": "252-633-0361",
            "fax_number": "252-633-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA ORTHOPAEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEATLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "252-633-0361",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901804",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "01804",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Carolina Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.