Individual provider Active NPI

Brandy Renee Greenwald, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1255043626
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5017569 Issued in NC
Practice address
2711 X Ray Dr
Gastonia, NC 28054-7491
Phone
(980) 834-9600
NPI assigned
Dec 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5017569 NC Primary

Addresses

Primary practice location

2711 X Ray Dr
Gastonia, NC 28054-7491

Mailing address

PO Box 744786
Atlanta, GA 30374-4786

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address brandy.greenwald@caromonthealth.org
CONNECT URL caromonthealth.org

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
I20230322001625 NC Practitioner - Nurse Practitioner 4486028081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians
South Charlotte Rheumatology PLLCGroup PAC ID 3274929674, 3 clinicians

Practice addresses (Care Compare)

2711 X Ray Dr
Suite 3701
Gastonia, NC 28054-7491
Phone (980) 384-9600

8840 Blakeney Professional Dr
Suite 200
Charlotte, NC 28277-6806
Phone (704) 672-0449

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5017569NCMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Charlotte Rheumatology, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Caromont Medical Group Inc CurrentSince Mar 27, 2023 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group, Inc. CurrentSince Mar 27, 2023 Accepting new patients

Locations

8840 Blakeney Professional Dr
Ste 200
Charlotte, NC 28277
Phone (704) 552-0116

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2711 X Ray Dr
Ste 3701
Gastonia, NC 28054
Phone (980) 384-9600

2711 X Ray Dr
Gastonia, NC 28054
Phone (704) 834-2420

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

Organizations & group practices 4

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 1

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": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1255043626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547491",
            "telephone_number": "980-834-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "BRANDY",
        "middle_name": "RENEE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5017569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandy.greenwald@caromonthealth.org",
            "affiliation": "N",
            "address_1": "2711 X Ray Dr",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280547491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "caromonthealth.org",
            "affiliation": "N",
            "address_1": "2711 X Ray Dr",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280547491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.