NPIMap

Individual provider Active NPI

John Robert Nordin, MD

  • Family Medicine Physician
  • New Bern, NC
National Provider Identifier
1700827706
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2010-01265 Issued in NC
Practice address
4007 M L King Jr Blvd
New Bern, NC 28562-2243
Phone
(252) 772-9995
Fax
(252) 221-3939
NPI assigned
Jun 9, 2006
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0027990 CO
Family Medicine Physician 207Q00000X 2010-01265 NC Primary

Addresses

Primary practice location

4007 M L King Jr Blvd
New Bern, NC 28562-2243

Mailing address

PO Box 187
Faison, NC 28341-0187
Phone (910) 267-2042

Other practice location 1

1200 Hargett St
Jacksonville, NC 28540-5933
Phone (910) 219-1082

Other practice location 2

791 Chambers Rd
Aurora, CO 80011
Phone (303) 360-6276

Other identifiers 2

IdentifierTypeStateIssuer
P00120862OtherMEDICARE RAILROAD
5919563MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000074 NC Practitioner - Family Practice 5597889030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4007 M L King Jr Blvd
New Bern, NC 28562-2243
Phone (252) 772-9995

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010-01265NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center, Incorporated CurrentSince Jun 1, 2024 Accepting new patients
Goshen Medical Center, Incorporated Past Accepting new patients
Thornton Medical Center, P.C. Family Medicine Past Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

4007 M L King Jr Blvd
New Bern, NC 28562
Phone (252) 772-9995

Interoperability endpoints

  • Direct secure messaging: jnordin@goshenmedical.cloudcraftdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1700827706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283410187",
            "telephone_number": "910-267-2042",
            "fax_number": "855-996-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 M L KING JR BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622243",
            "telephone_number": "252-772-9995",
            "fax_number": "252-221-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Hargett St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285405933",
            "country_code": "US",
            "telephone_number": "910-219-1082",
            "fax_number": "910-219-1087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 Chambers Rd",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80011",
            "country_code": "US",
            "telephone_number": "303-360-6276",
            "fax_number": "303-789-7239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDIN",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0027990",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-01265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00120862",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919563",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.