Active NPI
Brian Matthew Carty, MD
- Internal Medicine Physician
- Winston Salem, NC
National Provider Identifier
1336109362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2013-00770
- Practice address
- 4692 Brownsboro Rd
Winston Salem, NC 27106-3410 - Phone
- (336) 251-1114
- Fax
- (336) 251-1117
- NPI assigned
- Mar 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K4386 | TX | |
| Internal Medicine Physician | 207R00000X | 4301099784 | MI | |
| Internal Medicine Physician | 207R00000X | 2013-00770 | NC | Primary |
Addresses
Primary practice location
4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Mailing address
4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (336) 251-1114
Other practice location 1
11756 Bell Tower Dr
El Paso, TX 79936-0279
Phone (325) 864-1285
Other practice location 2
11756 Bell Tower Dr
El Paso, TX 79936-0279
Phone (325) 864-1285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4386 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro San Vicente | Past | Accepting new patients | |
| Hospitalists of Arizona, Inc | Internal Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Elizario, TX
- NPI 1780761452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336109362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4692 BROWNSBORO RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063410",
"telephone_number": "336-251-1114",
"fax_number": "336-251-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4692 BROWNSBORO RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063410",
"telephone_number": "336-251-1114",
"fax_number": "336-251-1117"
}
],
"practiceLocations": [
{
"address_1": "11756 Bell Tower Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799360279",
"country_code": "US",
"telephone_number": "325-864-1285",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11756 Bell Tower Dr",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799360279",
"country_code": "US",
"telephone_number": "325-864-1285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTY",
"first_name": "BRIAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K4386",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301099784",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2013-00770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.