Individual provider Active NPI

Brian Edward McGillick, M.D.

  • Urology Physician
  • New Bern, NC
National Provider Identifier
1366976680
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2022-00916 Issued in NC
Practice address
705 Newman Rd
New Bern, NC 28562-5239
Phone
(252) 633-2712
Fax
(252) 633-5418
NPI assigned
Apr 13, 2017
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X 2022-00916 NC Primary

Addresses

Primary practice location

705 Newman Rd
New Bern, NC 28562-5239

Mailing address

PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 633-2712

Other practice location 1

University Of Cincinnati Medical Ctr
Dept of Surgery 231 Albert Sabin Way ML 0558
Cincinnati, OH 45267-0558
Phone (513) 558-5861

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220805001576 NC Practitioner - Urology 9133498215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Practice addresses (Care Compare)

705 Newman Rd
New Bern, NC 28562-5239
Phone (252) 633-2712

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Urology Current Accepting new patients
Carolinaeast Physicians CurrentSince Aug 1, 2022 Accepting new patients
Carolinaeast Physicians Urology CurrentSince Aug 1, 2022 Accepting new patients
Carolinaeast Physicians Urology Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

705 Newman Rd
New Bern, NC 28562
Phone (252) 633-2712

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Interoperability endpoints

  • Direct secure messaging: bmcgillick19330@carolinaeastmc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1366976680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285730068",
            "telephone_number": "252-633-2712",
            "fax_number": "252-635-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625239",
            "telephone_number": "252-633-2712",
            "fax_number": "252-633-5418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Cincinnati Medical Ctr",
            "address_2": "DEPT OF SURGERY 231 ALBERT SABIN WAY ML 0558",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452670558",
            "country_code": "US",
            "telephone_number": "513-558-5861",
            "fax_number": "513-558-3474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILLICK",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2022-00916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.