NPIMap

Organization Active NPI

Vidant Medical Group, LLC

Doing business as ECU Health Physicians

  • Cardiac Rehabilitation Clinic/Center
  • Roanoke Rapids, NC
National Provider Identifier
1750125035
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
VIDANT MEDICAL GROUP, LLC
Doing business as
ECU Health Physicians
Practice address
210 Smith Church Rd Ste B
Roanoke Rapids, NC 27870-4942
Phone
(252) 847-2376
Fax
(252) 847-7337
NPI assigned
Jun 21, 2024
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
VIDANT MEDICAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Anthony Wayne Bartholomew
Title
VP, Operations
Phone
(252) 847-9067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X
Cardiac Rehabilitation Clinic/Center 261QR0404X Primary

Addresses

Primary practice location

210 Smith Church Rd Ste B
Roanoke Rapids, NC 27870-4942

Mailing address

210 Smith Church Rd Ste B
Roanoke Rapids, NC 27870-4942
Phone (252) 847-2376

Other names 1

  • ECU Health Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240828001342 NC Part B Supplier - Intensive Cardiac Rehabilitation 0345343893 Receives reassigned benefits from 2 practitioners
Practice locations: Roanoke Rapids, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Vidant Medical Group LLC3 organizations share this tax ID, including this one
Part of
Vidant Medical Group LLC

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1750125035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SMITH CHURCH RD STE B",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704942",
            "telephone_number": "252-847-2376",
            "fax_number": "252-847-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SMITH CHURCH RD STE B",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704942",
            "telephone_number": "252-847-2376",
            "fax_number": "252-847-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDANT MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIDANT MEDICAL GROUP LLC",
        "enumeration_date": "2024-06-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "BARTHOLOMEW",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "252-847-9067"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECU Health Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECU Health Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.