Individual provider Active NPI

Brady Kirsch, OD

  • Optometrist
  • Belmont, NC
National Provider Identifier
1467287060
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2814 Issued in NC
Practice address
111 S Main St
Belmont, NC 28012-3829
Phone
(704) 825-5322
NPI assigned
Sep 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2814 NC Primary

Addresses

Primary practice location

111 S Main St
Belmont, NC 28012-3829

Mailing address

429 Nobles Way
Belmont, NC 28012-3794
Phone (810) 705-2269

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
I20241011003171 NC Practitioner - Optometry 2961934237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Bradley a Wruble OD PLLCGroup PAC ID 0244515831, 4 clinicians
Corte and Wruble, OD, PLLCGroup PAC ID 5294002689, 15 clinicians

Practice addresses (Care Compare)

111 S Main St
Belmont, NC 28012-3829
Phone (704) 825-5322

6801 Northlake Mall Dr
Suite 253
Charlotte, NC 28216-0757
Phone (704) 509-4490

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2814NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley a Wruble OD PLLC Optometrist CurrentSince Sep 10, 2024 Accepting new patients
Corte and Wruble, OD, PLLC Optometrist CurrentSince Sep 10, 2024 Accepting new patients

Locations

111 S Main St
Belmont, NC 28012
Phone (704) 825-5322

6801 Northlake Mall Dr
Charlotte, NC 28216
Phone (704) 509-4490

6801 Northlake Mall Dr
Ste 253
Charlotte, NC 28216
Phone (704) 509-4366

8111 Concord Mills Blvd
Ste 359
Concord, NC 28027
Phone (980) 258-6038

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1467287060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 NOBLES WAY",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123794",
            "telephone_number": "810-705-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123829",
            "telephone_number": "704-825-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "BRADY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.