Active NPI
Bryan P. Payne, D.O.
- Surgery Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2019-00926
- Practice address
- 2555 Court Dr Ste 450
Gastonia, NC 28054 - Phone
- (704) 671-7652
- Fax
- (704) 671-7656
- NPI assigned
- Jun 30, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101021272 | MI | |
| Surgery Physician | 208600000X | 2019-00926 | NC | Primary |
Addresses
Primary practice location
2555 Court Dr Ste 450
Gastonia, NC 28054
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450
Other practice location 1
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8195
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
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2555 Court Dr
Suite 450
Gastonia, NC 28054-2191
Phone (704) 671-7652
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Surgery | Current | Accepting new patients |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Surgery | Current | Accepting new patients |
| Caromont Medical Group Inc | Surgery | Current | Accepting new patients |
| Harris Family Practice PLLC | Past | Accepting new patients |
Locations
2555 Court Dr
Ste 450
Gastonia, NC 28054
Phone (704) 671-7652
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311
205 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-4410
500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227
Interoperability endpoints
- bpayne2863287@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
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.
-
- Vascular Surgery Physician
- Laurinburg, NC
- NPI 1477791507
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Surgery Physician
- Gastonia, NC
- NPI 1972747053
-
- Surgery Physician
- Laurinburg, NC
- NPI 1104918754
-
- Family Medicine Physician
- Laurinburg, NC
- NPI 1992925978
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1427463280",
"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",
"telephone_number": "704-834-2450",
"fax_number": "704-671-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 COURT DR STE 450",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28054",
"telephone_number": "704-671-7652",
"fax_number": "704-671-7656"
}
],
"practiceLocations": [
{
"address_1": "1000 Harrington St",
"address_purpose": "LOCATION",
"city": "Mount Clemens",
"state": "MI",
"postal_code": "480432920",
"country_code": "US",
"telephone_number": "586-493-8195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "BRYAN",
"middle_name": "P.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101021272",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2019-00926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.