NPIMap

Individual provider Active NPI

Bryce Cameron Lord, D.O.

  • Radiation Oncology Physician
  • Jacksonville, NC
National Provider Identifier
1396776464
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
202403120 Issued in NC
Practice address
317 Western Blvd
Jacksonville, NC 28546-6338
Phone
(910) 577-4900
Fax
(910) 577-4910
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 12419A WY
Radiation Oncology Physician 2085R0001X 202403120 NC Primary

Addresses

Primary practice location

317 Western Blvd
Jacksonville, NC 28546-6338

Mailing address

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191114000830 WY Practitioner - Radiation Oncology 3375542475 Reassigns benefits to 1 organization
I20250103002973 NC Practitioner - Radiation Oncology 3375542475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onslow Radiation Oncology LLCGroup PAC ID 6103940424, 2 clinicians
West Park Hospital DistrictGroup PAC ID 7315855624, 85 clinicians

Practice addresses (Care Compare)

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-4900

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.79 of 100Reported as group
Quality
72.82
Promoting interoperability
100
Improvement activities
40
Cost
63.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202403120NCMDRadiation Oncology Physician
12419AWYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow Memorial Hospital Inc CurrentSince Dec 5, 2024 Accepting new patients
West Park Hospital District CurrentSince Oct 18, 2019 Accepting new patients
Onslow Radiation Oncology LLC CurrentSince Dec 5, 2024 Accepting new patients
West Park Hospital District CurrentSince Oct 18, 2019 Accepting new patients
Carson Tahoe Radiation Oncology Associates Radiation Oncology Past Accepting new patients
Indiana University Health, Inc Radiation Oncology Past Accepting new patients
Oncology & Hematology Associates, LLC Past Accepting new patients
Onslow Memorial Hospital, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

174 Memorial Ct
Jacksonville, NC 28546
Phone (910) 577-2536

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

1025 9th St
Cody, WY 82414
Phone (307) 578-2955

Organizations & group practices 9

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 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1396776464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466338",
            "telephone_number": "910-577-4900",
            "fax_number": "910-577-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 WESTERN BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466338",
            "telephone_number": "910-577-4900",
            "fax_number": "910-577-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "BRYCE",
        "middle_name": "CAMERON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WY",
            "license": "12419A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "202403120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.