Individual provider Active NPI

Sam Bruce Wu, MD

  • Dermatology Physician
  • Charlotte, NC
National Provider Identifier
1033503164
Registry record updated Mar 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2020-01159 Issued in NC
Practice address
309 S Sharon Amity Rd Ste 200
Charlotte, NC 28211-2886
Phone
(704) 344-8846
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 2020-01159 NC
Dermatology Physician 207N00000X 0101267259 VA
Dermatology Physician 207N00000X 2020-01159 NC Primary

Addresses

Primary practice location

309 S Sharon Amity Rd Ste 200
Charlotte, NC 28211-2886

Mailing address

1072 Xray Dr
Ste B
Gastonia, NC 28054
Phone (704) 671-1094

Other practice location 1

1072 X Ray Dr
Gastonia, NC 28054-7488
Phone (704) 671-1094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, TN3 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
I20191216000012 VA Practitioner - Dermatology 9638449283 Reassigns benefits to 1 organization
I20200917000544 NC Practitioner - Dermatology 9638449283 Reassigns benefits to 2 organizations
I20260326001801 TN Practitioner - Pathology 9638449283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians
Piedmont Plastic Surgery and Dermatology PAGroup PAC ID 6800875188, 56 clinicians
Pathology Associates of St ThomasGroup PAC ID 2769462845, 11 clinicians

Practice addresses (Care Compare)

200 Medical Park Dr
Concord, NC 28025-2982
Phone (704) 403-2777

309 S Sharon Amity Rd
Charlotte, NC 28211-2978
Phone 7046711094101

4230 Harding Pike
Suite 1001
Nashville, TN 37205-2098
Phone 61529841002098

Hospital & facility affiliations

  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
91.92
Promoting interoperability
94
Improvement activities
40
Cost
78.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions198
Skin biopsy103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NONEMIMDDentist
2020-01159NCMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Nov 8, 2019 Accepting new patients
Piedmont Plastic Surgery & Dermatology PA Dermatology CurrentSince Oct 15, 2021 Accepting new patients
Piedmont Plastic Surgery and Dermatology Dermatology Past Accepting new patients

Locations

309 S Sharon Amity Rd
Ste 200
Charlotte, NC 28211
Phone (704) 344-8846

309 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 446-2360

959 Cox Rd
Gastonia, NC 28054
Phone (704) 866-0106

937 Cox Rd
Gastonia, NC 28054
Phone (704) 898-8014

1072 X Ray Dr
Gastonia, NC 28054
Phone (704) 671-1094

1221 Lee St
Charlottesville, VA 22908

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

Interoperability endpoints

  • Direct secure messaging: swu@piedmontderm.emadirect.md

Organizations & group practices 5

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.

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774137600000",
    "number": "1033503164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 XRAY DR",
            "address_2": "STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-671-1094",
            "fax_number": "704-671-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S SHARON AMITY RD STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112886",
            "telephone_number": "704-344-8846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1072 X Ray Dr",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280547488",
            "country_code": "US",
            "telephone_number": "704-671-1094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "SAM",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2026-03-22",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NC",
            "license": "2020-01159",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101267259",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2020-01159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.