Individual provider Active NPI

John Peter Rostan McBryde Sr., MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1033143409
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9600633 Issued in NC
Practice address
7845 Little Ave
Charlotte, NC 28226-8198
Phone
(704) 375-0100
Fax
(704) 887-6450
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 9600633 NC
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 24210 SC
Sports Medicine (Emergency Medicine) Physician 207PS0010X 9600633 NC
Emergency Medicine Physician 207P00000X 9600633 NC Primary

Addresses

Primary practice location

7845 Little Ave
Charlotte, NC 28226-8198

Mailing address

7845 Little Ave
Charlotte, NC 28226-8198
Phone (704) 375-0100

Other practice location 1

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2171

Other practice location 2

1304 Springdale Dr
Clinton, SC 29325-7226
Phone (864) 833-6287

Other practice location 3

1061 Red Ventures Dr Ste 130
Fort Mill, SC 29707-2516
Phone (704) 375-0100

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jmcbryde916255@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ID, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070312000123 NC Practitioner - Emergency MedicinePractitioner - Sports Medicine 5991808032 Reassigns benefits to 6 organizations
I20220705000930 ID Practitioner - Emergency Medicine 5991808032 Reassigns benefits to 1 organization
I20220928002570 WV Practitioner - Emergency Medicine 5991808032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical University of South Carolina College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic - Wood River LLC 66 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Ketchum, ID 83340-9998
Phone (208) 727-8800

Hospital & facility affiliations

  • Hospice & Palliative Care Charlotte Region Hospice, Charlotte, NC, CCN 341500
  • St Luke'S Wood River Medical Center Hospital, Ketchum, ID, CCN 131323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31791WVMDLicensed Practical Nurse
9600633NCMDEmergency Medicine Physician
24210SCMDHospice and Palliative Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic - Wood River LLC Emergency Medicine CurrentSince Mar 25, 2022 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Oct 1, 2011 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 5, 2023 Accepting new patients
Ballantyne Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Wake Forest Emergency Providers CurrentSince Mar 18, 2022 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Medical Center Emergency Medicine CurrentSince Jan 5, 2023 Accepting new patients
Davis Memorial Hospital CurrentSince Oct 1, 2022 Accepting new patients
Ballantyne Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Davis Memorial Hospital CurrentSince Oct 1, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 5, 2023 Accepting new patients
Hospice of Laurens County Inc PastSince Jun 26, 2018 Accepting new patients
Hospice of Laurens County Inc PastSince May 24, 2020 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

100 N 6th St
Ste 900A
Minneapolis, MN 55403

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

16035 Johnston Rd
Charlotte, NC 28277
Phone (704) 542-5132

11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370

1001 Blythe Blvd
Ste 200
Charlotte, NC 28203
Phone (704) 373-0544

3536 Mt Holly Huntersville Rd
Charlotte, NC 28216
Phone (704) 801-6500

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jmcbryde916255@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1033143409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268198",
            "telephone_number": "704-375-0100",
            "fax_number": "704-375-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268198",
            "telephone_number": "704-375-0100",
            "fax_number": "704-887-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Blythe Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035812",
            "country_code": "US",
            "telephone_number": "704-355-2171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Springdale Dr",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257226",
            "country_code": "US",
            "telephone_number": "864-833-6287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 Red Ventures Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297072516",
            "country_code": "US",
            "telephone_number": "704-375-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCBRYDE",
        "first_name": "JOHN PETER",
        "middle_name": "ROSTAN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "9600633",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "SC",
            "license": "24210",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NC",
            "license": "9600633",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9600633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcbryde916255@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1000 Blythe Blvd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282035812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.