Bladen Healthcare, LLC
Organization Active NPI Hospitalist Physician · Elizabethtown, NC
NPI 1689018756 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1689018756
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- BLADEN HEALTHCARE, LLC
- Practice address
- 501 S Poplar St
Elizabethtown, NC 28337-9375 - Phone
- (910) 862-5179
- Fax
- (910) 862-5129
- NPI assigned
- Apr 19, 2013
- Organization subpart
- No
Authorized official
- Name
- Joseph Barton Fiser
- Title
- VP Managed Care and Revenue Cycle
- Phone
- (910) 615-5572
Other NPIs on the same Medicare enrollment 14
Practitioners 86
-
Yam Acharya, MD
-
Ankit C Amin, M.D.
-
Shadrack Ansong, MD
-
Martin J Berger, M.D.
-
Gouthami Boddu, MD
-
David Fitzgerald, M.D.
-
Sidrah Ghaffar, DO
-
Purushotham Gorrey, M.D.
-
Moe Pwint Phyu Htoo, M.D.
-
Saba Iqbal, M.D.
-
Ryan Paul Juneau, DO
-
Olaniran Ladipo, M.D
-
Azad Neupane, MD
-
John Paganotti, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080617000314 | NC | Part B Supplier - Clinic/Group Practice | 6800967969 |
Receives reassigned benefits from 173 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Elizabethtown, NC; Whiteville, NC; Lumberton, NC; Dublin, NC; Clarkton, NC; Bladenboro, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes | ||
| Critical Access Hospital | 282NC0060X | H0154 | NC |
Addresses
Primary practice location
501 S Poplar St
Elizabethtown, NC 28337-9375
Mailing address
501 S Poplar St
Elizabethtown, NC 28337-9375
Phone (910) 862-5179
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3401315 | Medicaid | NC |
Other names
- Cape Fear Valley BMA Hospitalists
Other providers in Elizabethtown, NC
- Bladen Healthcare LLC
- Bladen Healthcare, LLC
- Bladen Healthcare, LLC
- Bladen Healthcare, LLC
- Bladen Healthcare, LLC
- Bladen Healthcare, LLC
- Bladen Healthcare, LLC
- Bladen Healthcare, LLC
- Bladen Healthcare, LLC
- Bladen Medical Associates
All providers in Elizabethtown, NC · Hospitalist 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 Jan 21, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.