BLADEN MEDICAL ASSOCIATES NPI 1457469165

NPI Information

NPI: 1457469165
Provider Name: BLADEN MEDICAL ASSOCIATES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
300 E MCKAY ST
SUITE A
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-5500
Get Directions

BLADEN MEDICAL ASSOCIATES is a family medicine in Elizabethtown, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BLADEN MEDICAL ASSOCIATES NPI is 1457469165. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 E MCKAY ST
SUITE A
ELIZABETHTOWN, NC
ZIP 28337-517
Phone: (910) 862-5500
Fax: (910) 862-2107

The provider's authorized official is Donna L Bowen .
The authorized official title is Administrative Assistant and has the following contact phone number (910) 862-5500.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 8/18/2008.

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	License Number	License State	Primary
1	207R00000X	Internal Medicine	22998	NORTH CAROLINA	No
2	207R00000X	Internal Medicine	200101455	NORTH CAROLINA	No
3	207Q00000X	Family Medicine	29651	NORTH CAROLINA	Yes

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
1	343966A	MEDICAID	NORTH CAROLINA
2	343966	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	BMA ELIZABETHTOWN
3	C88440	MEDICARE UPIN	NORTH CAROLINA
4	F08812	MEDICARE UPIN	NORTH CAROLINA
5	G78735	MEDICARE UPIN	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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