Organization Active NPI

New Bern Surgical Associates, PA

  • Surgery Physician
  • New Bern, NC
National Provider Identifier
1871608059
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
001290842 Issued in NC
Legal business name
NEW BERN SURGICAL ASSOCIATES, PA
Practice address
701 Newman Rd
New Bern, NC 28562-5239
Phone
(252) 633-2081
Fax
(252) 633-3446
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Caroline Anne Paul, M.D.
Title
President
Phone
(252) 633-2081

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 39295 NC
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 001290842 NC Primary

Addresses

Primary practice location

701 Newman Rd
New Bern, NC 28562-5239

Mailing address

701 Newman Rd
New Bern, NC 28562-5239
Phone (252) 633-2081

Other identifiers 2

IdentifierTypeStateIssuer
02304OtherNCBLUE CROSS BLUE SHIELD
8902304MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1871608059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625239",
            "telephone_number": "252-633-2081",
            "fax_number": "252-633-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625239",
            "telephone_number": "252-633-2081",
            "fax_number": "252-633-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BERN SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-633-2081",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "39295",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "001290842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02304",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902304",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.