Individual provider Active NPI

Paul Bradford Hearn, OD

  • Optometrist
  • Huntersville, NC
National Provider Identifier
1437708393
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC2572 Issued in NC
Practice address
16525 Birkdale Commons Pkwy
Huntersville, NC 28078-3802
Phone
(704) 896-3311
Fax
(704) 896-5514
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC2572 NC Primary

Addresses

Primary practice location

16525 Birkdale Commons Pkwy
Huntersville, NC 28078-3802

Mailing address

16525 Birkdale Commons Pkwy
Huntersville, NC 28078-3802
Phone (704) 896-3311

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200519000853 NC Practitioner - Optometry 8325479769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brad Hearn OD PAGroup PAC ID 9537231741, 3 clinicians

Practice addresses (Care Compare)

16525 Birkdale Commons Pkwy
Suite 100
Huntersville, NC 28078-3803
Phone (704) 896-3311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2572NCMDClinical Psychologist
NC2572NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Hearn OD PA Optometrist CurrentSince Jul 24, 2022 Accepting new patients
Brad Hearn OD PA Optometrist CurrentSince Oct 16, 2020 Accepting new patients

Locations

16150 US Highway 17
Ste A
Hampstead, NC 28443
Phone (910) 270-2800

16525 Birkdale Commons Pkwy
Ste 100
Huntersville, NC 28078
Phone (704) 896-3311

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1437708393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16525 BIRKDALE COMMONS PKWY",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783802",
            "telephone_number": "704-896-3311",
            "fax_number": "704-896-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16525 BIRKDALE COMMONS PKWY",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783802",
            "telephone_number": "704-896-3311",
            "fax_number": "704-896-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "PAUL",
        "middle_name": "BRADFORD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.