Active NPI
New Bern Surgical Associates, PA
- Surgery Physician
- New Bern, NC
National Provider Identifier
1871608059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 001290842
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 39295 | NC | |
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02304 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8902304 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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
- New Bern Arthritis Center PLLC
- New Bern Home Care, LLC (Home Instead)
- New Bern Medicine and Sports
- New Bern Orthopaedic Assoc.,Inc.
- New Bern Professional Health Services, PC
- New Bern Urology Clinic Inc
- New Life Rehab Services Inc
- New Pathways Recovery Center, PLLC
- Newbern Medical Arts Phcy Inc (New Bern Medical Arts Pharmacy)
- Robert Bartholomew Newell Jr., MD
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.