COASTAL EAR NOSE & THROAT ASSOCIATES PLLC NPI 1033157615

NPI Information

  • NPI: 1033157615
  • Provider Name: COASTAL EAR NOSE & THROAT ASSOCIATES PLLC
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Address: 3110 WELLONS BLVD
    NEW BERN, NC
    ZIP 28562
  • Phone: (252) 638-2515

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NPI Details

COASTAL EAR NOSE & THROAT ASSOCIATES PLLC is an otolaryngology in New Bern, NC. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. COASTAL EAR NOSE & THROAT ASSOCIATES PLLC NPI is 1033157615. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3110 WELLONS BLVD
NEW BERN, NC
ZIP 28562-247
Phone: (252) 638-2515
Fax: (252) 638-8538

The provider's authorized official is Richard Dwight Grady .
The authorized official title is President and has the following contact phone number (252) 638-2515.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 1/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyNORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12260978CMEDICARE ID-TYPE UNSPECIFIED
2F23412MEDICARE UPIN
3F36744MEDICARE UPIN
4206731DMEDICARE ID-TYPE UNSPECIFIED
5C85265MEDICARE UPIN
6C88101MEDICARE UPIN
72349967MEDICARE PINNORTH CAROLINA
88936530MEDICAIDNORTH CAROLINA
9891157JMEDICAIDNORTH CAROLINA
102279606DMEDICARE ID-TYPE UNSPECIFIED
11891170NMEDICAIDNORTH CAROLINA
12208412DMEDICARE ID-TYPE UNSPECIFIED
138953662MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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