Bryan Thomas Gerber, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Greenville, NC
NPI 1174902167 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1174902167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 2018-02321 (NC)
- Practice address
- 521 Moye Blvd
Greenville, NC 27834-2849 - Phone
- (252) 744-1600
- Fax
- (252) 744-1115
- NPI assigned
- May 22, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vidant Medical Group LLC
Practice addresses (Care Compare)
211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-6219
Hospital & facility affiliations
- Ecu Health Medical Center
- Ecu Health North Hospital
- Unc Health Care Wayne
- Vidant Edgecombe Hospital
- Vidant Chowan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181217002662 | NC | Practitioner - Internal Medicine | 4385933894 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-02321 | NC | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| East Carolina University | Emergency Medicine | Current |
Accepting new patients |
| Outer Banks Professional Services, LLC | Current |
Accepting new patients | |
| East Carolina Health-Bertie | Current |
Accepting new patients | |
| Vidant Medical Group LLC | Current |
Accepting new patients | |
| East Carolina Health-Bertie | Emergency Medicine | Current |
Accepting new patients |
| Outer Banks Professional Services, LLC | Current |
Accepting new patients | |
| East Carolina University | Past |
Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
521 Moye Blvd
#A
Greenville, NC 27834
Phone (252) 744-1111
521 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1600
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800
1403 S King St
Windsor, NC 27983
Phone (252) 794-6685
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2018-02321 | NC | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2018-02321 | NC | |
| Pulmonary Disease Physician | 207RP1001X | 2018-02321 | NC | Yes |
Addresses
Primary practice location
521 Moye Blvd
Greenville, NC 27834-2849
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bgerber85793@direct.ecuhealth.com | Health Information Exchange (HIE) |
NPI Registry JSON
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1174902167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 MOYE BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278342849",
"telephone_number": "252-744-1600",
"fax_number": "252-744-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "BRYAN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-22",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2018-02321",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NC",
"license": "2018-02321",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "2018-02321",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bgerber85793@direct.ecuhealth.com",
"affiliation": "N",
"endpointDescription": "ECU Physicians",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "521 Moye Blvd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, NC
- Anil George
- Samantha George
- Joseph Geradts
- Saulo Geraldeli
- Casey Ryan Gerard
- Ereny Gerges
- Emily Ruth Garner Gerlach
- Dustin Michael Gertsch
- Grace C Gery
- Glen Scott Gettinger
All providers in Greenville, NC · Pulmonary Disease Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.