BLADEN MEDICAL ASSOCIATES
NPI 1205957214
Nurse Practitioner in Dublin, NC

NPI Status: Active since April 03, 2007

Contact Information

16 3RD STREET
DUBLIN, NC
ZIP 28332
Phone: (910) 862-3528
Fax: (910) 862-2207

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 34D0936586
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-21-2026

About BLADEN MEDICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Bladen Medical Associates, a provider established in Dublin, North Carolina operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1205957214 assigned on April 2007. The practitioner's primary taxonomy code is 363L00000X with license number 200746 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. Bladen Medical Associates operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Donna L Bowen (Administrative Assistant)

NPI
1205957214
Provider Name
BLADEN MEDICAL ASSOCIATES
Entity Type
Organization
Location Address
16 3RD STREET DUBLIN, NC 28332
Location Phone
(910) 862-3528
Location Fax
(910) 862-2207
Mailing Address
PO BOX 87 DUBLIN, NC 28332
Mailing Phone
(910) 862-3528
Mailing Fax
(910) 862-2207
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-03-2007
Last Update Date
08-07-2008
Code Navigator

A nurse practitioner (NP) like Bladen Medical Associates is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
200746
License State
NC
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

29651 (NC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. DONNA L BOWEN

Authorized Official Title
ADMINISTRATIVE ASSISTANT
Authorized Official Phone
(910) 862-5507

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1295824910OTHER (01)NPI
348935MEDICARE ID-TYPE UNSPECIFIED (04)NC 
348935AMEDICAID (05)NC 
1225127459OTHER (01)NCNPI
8971626MEDICAID (05)NC 
29651OTHER (01)LICENSE NUMBER
F08812MEDICARE UPIN (02)NC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D0936586
Facility Type
Physician Office
Certificate Effective Date
October 22, 2024
Certificate Expiration Date
October 21, 2026
Laboratory Director
ROBERT L. RICH JR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bladen Medical Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BLADEN MEDICAL ASSOCIATES

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205957214, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 8 + 5 + 1 + 4 + 2 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1205957214.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205957214, enumerated as an "organization" on April 03, 2007.

The provider is located at 16 3RD STREET DUBLIN, NC 28332 and the phone number is (910) 862-3528.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.