DR. GERALD PELLETIER, JR. (NPI# 1770704934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770704934 |
| Entity Type | Individual |
| Full Name | DR. GERALD PELLETIER, JR. |
| Credential | MD |
| Practice Address |
1315 Tatum Dr New Bern NC 28562 |
| Mailing Address |
413 Haywood Creek Dr Trent Woods NC 28562 |
| Practice Telephone | 2526331599 |
| Practice Fax Number | 2526349889 |
| Mailing Telephone | 2526712605 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 15558 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8966722 | 05 |
| Street Address |
1315 TATUM DR |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295364305 | Merci Clinic | Pharmacy | 1315 Tatum Dr, New Bern, NC 28560-4314 | 2020-04-02 |
| 1750752093 | Maria Delurdes Dehoyos | Nurse Practitioner | 1315 Tatum Dr, New Bern, NC 28560-4314 | 2015-10-13 |
| 1508237892 | M.e.r.c.i Clinic | Clinic/Center | 1315 Tatum Dr, New Bern, NC 28560-4314 | 2015-10-12 |
| 1629282728 | Susannah S Hall | Pharmacist | 1315 Tatum Dr, New Bern, NC 28560-4314 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245343060 | Neil C Vining | Orthopaedic Surgery | 2007 Neuse Blvd, New Bern, NC 28560-3470 | 2006-08-16 |
| 1427009299 | Carolina Orthopedic Associates Pa | Orthopaedic Surgery | 738 Newman Road, New Bern, NC 28562 | 2006-05-15 |
| 1275529752 | Donald S Bright | Orthopaedic Surgery | 3272 Wellons Blvd, New Bern, NC 28562-5234 | 2005-09-21 |
| 1538167010 | Mark Graham Wertman | Orthopaedic Surgery | 738 Newman Rd, New Bern, NC 28562-5238 | 2005-07-08 |
| 1710300017 | Donald S Bright Mdpa | Orthopaedic Surgery | 3272 Wellons Blvd, New Bern, NC 28562-5234 | 2014-01-23 |
| 1790110757 | Med Assist of New Bern, Nc | Orthopaedic Surgery | 2007 Neuse Blvd, New Bern, NC 28560 | 2013-09-10 |
| 1922323138 | Stephen George Reichard | Orthopaedic Surgery | 738 Newman Rd, New Bern, NC 28562-5238 | 2010-03-30 |
| 1184818734 | Carolina Orthopedic and Sports Medicine Inc | Orthopaedic Surgery | 1413 Tatum Dr, New Bern, NC 28560-4549 | 2007-08-28 |
| 1831382456 | Carolina Orthopedic and Sports Medicine Inc | Orthopaedic Surgery | 800 Hospital Dr, Suites 6 & 7, New Bern, NC 28560-3452 | 2007-08-27 |
| 1275730178 | Jessica Amber Woodcock | Orthopaedic Surgery | 738 Newman Rd, New Bern, NC 28562-5238 | 2007-07-03 |
| Find all providers in NEW BERN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.