Active NPI
John Peter Rostan McBryde Sr., MD
- Emergency Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9600633
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070312000123 | NC | Practitioner - Emergency 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
Practice addresses (Care Compare)
100 Hospital Dr
Ketchum, ID 83340-9998
Phone (208) 727-8800
Hospital & facility affiliations
- Hospice & Palliative Care Charlotte Region
- St Luke'S Wood River Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31791 | WV | MD | Licensed Practical Nurse |
| 9600633 | NC | MD | Emergency Medicine Physician |
| 24210 | SC | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic - Wood River LLC | Emergency Medicine | Current | Accepting new patients |
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Ballantyne Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Wake Forest Emergency Providers | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Emergency Medicine | Current | Accepting new patients |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Ballantyne Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Hospice of Laurens County Inc | Past | Accepting new patients | |
| Hospice of Laurens County Inc | Past | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Ketchum, ID
- NPI 1972891604
Emergency Medicine, ID
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1164052726
Emergency Medicine, NC
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
NC
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
Emergency Medicine, NC
-
- Community Based Hospice Care Agency
- Charlotte, NC
- NPI 1548398720
NC
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1437939691
Emergency Medicine
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Emergency Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Hospitalist Physician
- Charlotte, NC
- NPI 1447573829
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Charlotte, NC
- NPI 1548398720
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.