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BLADEN MEDICAL ASSOCIATES
NPI 1316068307
Nurse Practitioner in Bladenboro, NC

Active since April 03, 2007CLIA 34D0695509 · Waiver
106TH 4TH STREET, BLADENBORO, NC 28320(910) 863-3138(910) 863-3597 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bladen Medical Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLADEN MEDICAL ASSOCIATES (NPI 1316068307) is a healthcare organization registered as a nurse practitioner in Bladenboro, North Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Donna L Bowen, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1316068307
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameBLADEN MEDICAL ASSOCIATES
Location Address106TH 4TH STREETBladenboro, NC 28320
Mailing AddressPo Box 370Bladenboro, NC 28320 · (910) 863-3138 · Fax (910) 863-3597
Phone(910) 863-3138
Fax(910) 863-3597
Organization SubpartNo
Authorized OfficialDonna L BowenAdministrative Assistant · (910) 862-5507
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 7, 2008
✔ NPI 1316068307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 200993
Definition
(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.
106TH 4TH STREET, Bladenboro, NC 28320
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Other Identifiers 3

Medicare ID-Type Unspecified343920NC
Medicaid344601CNC
Medicaid344601ANC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D0695509

Bladen Medical Associates - Bladenboro · Bladenboro, NC
Active · expires Oct 21, 2026
CLIA Number34D0695509
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorRobert L. Rich Jr
Laboratory Phone(910) 862-5139
Laboratory LocationBladen Medical Associates - Bladenboro1106 West Seaboard Street, Bladenboro, NC 28320
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bladen Medical Associates's NPI number?

The NPI number for Bladen Medical Associates is 1316068307. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Bladen Medical Associates located?

Bladen Medical Associates is located at 106th 4th Street, Bladenboro, NC 28320. The listed phone number is (910) 863-3138.

What is Bladen Medical Associates's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Bladen Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0695509) is associated with this NPI, valid through October 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bladen Medical Associates was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.