BLADEN MEDICAL ASSOCIATES
NPI 1457469165
Family Medicine in Elizabethtown, NC

Active since August 25, 2006CLIA Certified · 3 labs
300 E MCKAY ST, SUITE A, ELIZABETHTOWN, NC 28337(910) 862-5500(910) 862-2107 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bladen Medical Associates NPPES

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

BLADEN MEDICAL ASSOCIATES (NPI 1457469165) is a healthcare organization registered as a family medicine in Elizabethtown, North Carolina and active in the NPI registry since August 2006. The organization holds 3 active CLIA laboratory certificates and lists Donna L Bowen, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1457469165
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBLADEN MEDICAL ASSOCIATES
Location Address300 E MCKAY ST, SUITE AElizabethtown, NC 28337-0517
Mailing AddressPo Box 517Elizabethtown, NC 28337-0517 · (910) 862-5500 · Fax (910) 862-2107
Fax(910) 862-2107
Organization SubpartNo
Authorized OfficialDonna L BowenAdministrative Assistant · (910) 862-5500
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 18, 2008
NPI 1457469165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 29651
Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 22998 (NC), 200101455 (NC)
300 E MCKAY ST, Elizabethtown, NC 28337

Other Identifiers 5

Medicaid343966ANC
Medicare ID-Type Unspecified343966NC · Bma Elizabethtown
Medicare UPINC88440NC
Medicare UPINF08812NC
Medicare UPING78735NC

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 3

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 34D2150380

Bladen Medical Associates - White Lake · Elizabethtown, NC
Active · expires Jun 23, 2028
CLIA Number34D2150380
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorJose Vergara
Laboratory Phone(910) 862-5139
Laboratory LocationBladen Medical Associates - White Lake273 Whte Lake Drive, Elizabethtown, NC 28337
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D0900729

Bladen Medical Associates - Elizabethtown · Elizabethtown, NC
Active · expires Nov 28, 2027
CLIA Number34D0900729
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorRobert L. Rich Jr
Laboratory Phone(910) 862-5139
Laboratory LocationBladen Medical Associates - Elizabethtown300A East Mckay Street, Elizabethtown, NC 28337
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2031203

Bladen Medical Associates Express Care · Elizabethtown, NC
Active · expires Oct 13, 2027
CLIA Number34D2031203
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorRobert Rich
Laboratory Phone(910) 862-5139
Laboratory LocationBladen Medical Associates Express Care107 East Dunham Street, Elizabethtown, NC 28337
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
300 E MCKAY ST
ELIZABETHTOWN, NC 28337
Nurse Practitioner (Family)
300 E MCKAY ST
ELIZABETHTOWN, NC 28337
Physician Assistant (Medical)
300 E MCKAY ST
ELIZABETHTOWN, NC 28337
Family Medicine
300 E MCKAY ST
ELIZABETHTOWN, NC 28337
Nurse Practitioner (Family)
300 E MCKAY ST
ELIZABETHTOWN, NC 28337
Nurse Practitioner (Family)
300 E MCKAY ST
ELIZABETHTOWN, NC 28337
Nurse Practitioner (Family)
300 E MCKAY ST
ELIZABETHTOWN, NC 28337

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 1457469165. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Bladen Medical Associates located?

Bladen Medical Associates is located at 300 E Mckay St Suite A, Elizabethtown, NC 28337. The listed phone number is (910) 862-5500.

What is Bladen Medical Associates's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bladen Medical Associates hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bladen Medical Associates was last updated on August 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.