Active NPI
Brittany Bergin Clyne, MD
- Anesthesiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 200300577
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-2372
- Fax
- (704) 355-6692
- NPI assigned
- Oct 10, 2005
- Last updated
- Sep 18, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 200300577 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
2208 Hastings Dr
Charlotte, NC 28207-2428
Phone (704) 726-1339
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wake Forest University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000
1819 Lyndhurst Ave
Charlotte, NC 28203-5103
Phone (919) 781-4311
2430 Emerald PL
Suite 103
Greenville, NC 27834-5743
Phone (252) 752-2140
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| Providence Anesthesiology Associates, P.a. | Anesthesiology | Current | Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
16455 Statesville Rd
Huntersville, NC 28078
Phone (704) 801-3719
Interoperability endpoints
- bclyne2807205@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1538124201
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1932402195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1396733820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 HASTINGS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282072428",
"telephone_number": "704-726-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-2372",
"fax_number": "704-355-6692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLYNE",
"first_name": "BRITTANY",
"middle_name": "BERGIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "200300577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.