Individual provider Active NPI

Brent Halsch

  • Family Nurse Practitioner
  • Concord, NC
National Provider Identifier
1043965981
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016054 Issued in NC
Practice address
6150 Bayfield Pkwy
Concord, NC 28027-7486
Phone
(704) 262-6081
NPI assigned
Feb 18, 2022
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020010649 NC
Family Nurse Practitioner 363LF0000X 5016054 NC Primary

Addresses

Primary practice location

6150 Bayfield Pkwy
Concord, NC 28027-7486

Mailing address

440 Falcon Dr
Concord, NC 28025-9151
Phone (704) 787-3889

Other practice location 1

4301 Red Berry Ct
Charlotte, NC 28213-5327
Phone (704) 787-3889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220620001092 NC Practitioner - Nurse Practitioner 6608255757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

6150 Bayfield Pkwy
Concord, NC 28027-7486
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020010649NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Apr 20, 2022 Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

6150 Bayfield Pkwy
Kannapolis, NC 28027
Phone (704) 262-6080

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1043965981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FALCON DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280259151",
            "telephone_number": "704-787-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 BAYFIELD PKWY",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280277486",
            "telephone_number": "704-262-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Red Berry Ct",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282135327",
            "country_code": "US",
            "telephone_number": "704-787-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALSCH",
        "first_name": "BRENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020010649",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.