Individual provider Active NPI

Brian Thomas Theune, MD

  • Surgery Physician
  • New Bern, NC
National Provider Identifier
1710938642
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2011-01500 Issued in NC
Practice address
2203 Neuse Blvd
New Bern, NC 28560-4311
Phone
(252) 638-8118
Fax
(252) 638-5192
NPI assigned
May 15, 2006
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2011-01500 NC Primary

Addresses

Primary practice location

2203 Neuse Blvd
New Bern, NC 28560-4311

Mailing address

2203 Neuse Blvd
New Bern, NC 28560-4311
Phone (252) 638-8118

Other practice location 1

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130615000074 NC Practitioner - Vascular Surgery 9032364179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Uniformed Services Uhs Fe Hebert School of Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Surgical Specialists P aGroup PAC ID 6800791666, 2 clinicians

Practice addresses (Care Compare)

2203 Neuse Blvd
New Bern, NC 28560-4311
Phone (252) 638-8118

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.88 of 100Reported as individual
Quality
57.28
Improvement activities
40
Cost
70.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal31
Leg revascularization (restoring blood flow)69
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-10, LLC CurrentSince Mar 1, 2014 Accepting new patients
Coastal Surgical Specialists P a CurrentSince Mar 1, 2017 Accepting new patients

Locations

2203 Neuse Blvd
New Bern, NC 28560
Phone (252) 638-8118

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

Interoperability endpoints

  • Direct secure messaging: brian.theune.1@31257.direct.athenahealth.com

Organizations & group practices 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1710938642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604311",
            "telephone_number": "252-638-8118",
            "fax_number": "252-638-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604311",
            "telephone_number": "252-638-8118",
            "fax_number": "252-638-5192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Neuse Blvd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285603449",
            "country_code": "US",
            "telephone_number": "252-633-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEUNE",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2011-01500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.