NPIMap

Individual provider Active NPI

Bryan Stonestreet, MD

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1114155371
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
46550 Issued in KY
Practice address
200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone
(502) 587-4421
Fax
(502) 587-4840
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 46550 KY Primary

Addresses

Primary practice location

200 Abraham Flexner Way
Louisville, KY 40202-2877

Mailing address

5454 New Cut Rd
Suite 5
Louisville, KY 40214-4271
Phone (502) 361-9900

Other identifiers 1

IdentifierTypeStateIssuer
7100199700MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107000699 NC Practitioner - Emergency Medicine 7618153099 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
JC Edwards School of Medicine, Marshall University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Norman Emergency Medical Associates LLCGroup PAC ID 5496927972, 8 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians
Gastonia Physician Services PLLCGroup PAC ID 3870719602, 66 clinicians
Frye Emergency Medical Associates LLCGroup PAC ID 1557398609, 18 clinicians

Practice addresses (Care Compare)

171 Fairview Rd
Mooresville, NC 28117-9500
Phone (704) 660-4000

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

420 N Ctr St
Hickory, NC 28601-5033
Phone (704) 660-4055

Hospital & facility affiliations

  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032
  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
84.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46550KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Norman Emergency Medical Associates LLC Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Frye Emergency Medical Associates LLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients

Locations

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

420 N Center St
Hickory, NC 28601
Phone (704) 660-4055

171 Fairview Rd
Mooresville, NC 28117
Phone (704) 660-4000

218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461

Organizations & group practices 6

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 3

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1114155371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 NEW CUT RD",
            "address_2": "SUITE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144271",
            "telephone_number": "502-361-9900",
            "fax_number": "502-361-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ABRAHAM FLEXNER WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022877",
            "telephone_number": "502-587-4421",
            "fax_number": "502-587-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONESTREET",
        "first_name": "BRYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "46550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100199700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.