BLADEN HEALTHCARE LLC NPI 1154436012

NPI Information

  • NPI: 1154436012
  • Provider Name: BLADEN HEALTHCARE LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: PHILLIPS INTERNAL MEDICINE
  • Address: 507 DOCTOR'S DRIVE
    ELIZABETHTOWN, NC
    ZIP 28337
  • Phone: (910) 862-3212

Map and Directions

Get Directions

NPI Details

BLADEN HEALTHCARE LLC is an internal medicine in Elizabethtown, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BLADEN HEALTHCARE LLC NPI is 1154436012. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Phillips Internal Medicine.

The provider's business location address is:

507 DOCTOR'S DRIVE
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-3212
Fax: (910) 862-2263

The provider's authorized official is Ayub Ibrahim .
The authorized official title is Reimbursement Director and has the following contact phone number (910) 615-6994.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 1/13/2010.

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
1207R00000XInternal Medicine15560NORTH 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
18967555MEDICAIDNORTH CAROLINA
22351500MEDICARE PINNORTH CAROLINA
3201418MEDICARE PINNORTH CAROLINA
4D26803MEDICARE UPIN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI