Richard Dwight Grady, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

21784 Issued in NC

Practice address

3110 Wellons Blvd
New Bern, NC 28562-5247

Phone

(252) 638-2515

Fax

(252) 638-8538

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolinaeast Physicians

  • Hospitalist Physician
  • Morehead City, NC
  • NPI 1013329614

  Otolaryngology

  NPD
• Carolinaeast Physicians

  • Cardiovascular Disease Physician
  • New Bern, NC
  • NPI 1104066794

  Otolaryngology

  NPD
• Carolinaeast Physicians

  • Obstetrics & Gynecology Physician
  • New Bern, NC
  • NPI 1619868981
  NPD
• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1912945908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-638-2515",
            "fax_number": "252-638-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 WELLONS BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625247",
            "telephone_number": "252-638-2515",
            "fax_number": "252-638-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "RICHARD",
        "middle_name": "DWIGHT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "21784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936530",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathryn Lucy Gould, PT
• Pratibha Gouli, M.D.
• Monica Lee Gover, CPO
• Samantha Paige Govitz, DPT
• Brittany Taylor Grady, D.O.
• Alisha Graham
• Erin Nicole Graham, LCAS, LCSW-A
• Hoadiep Nguyen Graham, DDS
• Jamie Rae Graham, NP
• Kent L Graham, MA, LPC, LCAS, CCS

• All providers in New Bern, NC
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.