Active NPI
Gregory Bielec, M.D.
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1215916077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9767
- Practice address
- 11840 Southmore Dr
Suite 100
Charlotte, NC 28277-4466 - Phone
- (704) 316-4443
- Fax
- (704) 316-4444
- NPI assigned
- Jan 11, 2006
- Last updated
- Oct 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9767 | NC | Primary |
Addresses
Primary practice location
11840 Southmore Dr
Suite 100
Charlotte, NC 28277-4466
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-1265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211689 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gbielec2289@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9767 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043
Interoperability endpoints
- gbielec2289@direct.novanthealth.org
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.
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Heart and Vascular Institute
- Cardiovascular Disease Physician
- Matthews, NC
- NPI 1477073641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1215916077",
"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": "704-316-1265",
"fax_number": "704-316-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11840 SOUTHMORE DR",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774466",
"telephone_number": "704-316-4443",
"fax_number": "704-316-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIELEC",
"first_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2020-10-25",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211689",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gbielec2289@direct.novanthealth.org",
"affiliation": "N",
"address_1": "11840 Southmore Dr",
"address_2": "Suite 100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282774466",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.