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

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (986 clinicians)

Practice addresses (Care Compare)

211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-6219

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital · Greenville, NC · CCN 340040
  • Ecu Health North Hospital Hospital · Roanoke Rapids, NC · CCN 340151
  • Unc Health Care Wayne Hospital · Goldsboro, NC · CCN 340010
  • Vidant Edgecombe Hospital Hospital · Tarboro, NC · CCN 340107
  • Vidant Chowan Hospital Hospital · Edenton, NC · CCN 341318

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100 (apm)
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 IDStateProvider typePAC IDDetails
I20181217002662 NC Practitioner - Internal Medicine 4385933894 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2018-02321NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Current Accepting new patients
Vidant Medical Group LLC Current
since Dec 5, 2018
Accepting new patients
East Carolina University Emergency Medicine Current
since Jul 1, 2021
Accepting new patients
Outer Banks Professional Services, LLC Current
since Dec 13, 2018
Accepting new patients
East Carolina Health-Bertie Current
since Jul 2, 2019
Accepting new patients
Vidant Medical Group LLC Current
since Dec 5, 2018
Accepting new patients
East Carolina Health-Bertie Emergency Medicine Current
since Jul 2, 2019
Accepting new patients
Outer Banks Professional Services, LLC Current
since Dec 13, 2018
Accepting new patients
East Carolina University Past
since Jul 1, 2021
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address bgerber85793@direct.ecuhealth.com Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2024.

{
    "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

All providers in Greenville, NC · Pulmonary Disease Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.