Individual provider Active NPI

Brian Christopher Regan, ANP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1043512734
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008480 Issued in NC
Practice address
301 Hawthorne LN
Suite 200
Charlotte, NC 28204-2450
Phone
(704) 316-5100
Fax
(704) 316-5101
NPI assigned
Dec 1, 2010
Last updated
May 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008480 NC Primary
Adult Health Nurse Practitioner 363LA2200X 305562 NY

Addresses

Primary practice location

301 Hawthorne LN
Suite 200
Charlotte, NC 28204-2450

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bregan316330@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140322000163 SC Practitioner - Nurse Practitioner 5597996215 Reassigns benefits to 1 organization
I20161004002706 NC Practitioner - Nurse Practitioner 5597996215 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

301 Hawthorne LN
Suite 200
Charlotte, NC 28204-2467
Phone (704) 316-5100

401 Mocksville Ave
FL 2
Salisbury, NC 28144-2735
Phone (704) 633-9620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18581SCMDClinical Social Worker
305562NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
Piedmont Physician Network LLC Nurse Practitioner CurrentSince May 6, 2024 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Oct 17, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 1, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 7, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 1, 2016 Accepting new patients
The Presbyterian Hospital CurrentSince Oct 17, 2020 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Piedmont Pulmonology, LLC PastSince Feb 5, 2008 Accepting new patients

Locations

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Ste 640
Charlotte, NC 28204
Phone (980) 302-6761

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

401 Mocksville Ave
Fl 2
Salisbury, NC 28144
Phone (704) 633-9620

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • Direct secure messaging: bregan316330@direct.novanthealth.org
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 11

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

Hospital & facility affiliations 4

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1043512734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-5100",
            "fax_number": "704-316-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HAWTHORNE LN",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042450",
            "telephone_number": "704-316-5100",
            "fax_number": "704-316-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008480",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bregan316330@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "301 Hawthorne Ln",
            "address_2": "Suite 200",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282042450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.