NPIMap

Organization Active NPI

East Carolina University

Doing business as ECU Physicians

  • Sports Medicine (Family Medicine) Physician
  • Greenville, NC
National Provider Identifier
1720039241
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
EAST CAROLINA UNIVERSITY
Doing business as
ECU Physicians
Practice address
Viquest
2610 Stantonsburg Road
Greenville, NC 27835
Phone
(252) 744-3977
Fax
(252) 744-6503
NPI assigned
May 12, 2006
Last updated
Jul 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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
Sports Medicine (Family Medicine) Physician 207QS0010X Primary

Addresses

Primary practice location

Viquest
2610 Stantonsburg Road
Greenville, NC 27835

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
0315OtherNCBCBS NC GROUP PROVIDER #
014A9OtherNCGROUP PROVIDER NUMBER
89014A9MedicaidNC

Other names 1

  • ECU Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ecu School Medicine Cli64 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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1720039241",
    "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": "VIQUEST",
            "address_2": "2610 STANTONSBURG ROAD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27835",
            "telephone_number": "252-744-3977",
            "fax_number": "252-744-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CAROLINA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-07-10",
        "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": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC GROUP PROVIDER #",
            "identifier": "0315",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER NUMBER",
            "identifier": "014A9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014A9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.