NPIMap

Individual provider Active NPI

Michael Brian Bauer, M.D.

  • Urology Physician
  • Connelly Springs, NC
National Provider Identifier
1497799977
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9900164 Issued in NC
Practice address
730 Malcolm Blvd Ste 100
Connelly Springs, NC 28612-8079
Phone
(828) 580-7962
Fax
(828) 580-3392
NPI assigned
Jun 15, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9900164 NC Primary

Addresses

Primary practice location

730 Malcolm Blvd Ste 100
Connelly Springs, NC 28612-8079

Mailing address

730 Malcolm Blvd Ste 100
Connelly Springs, NC 28612-8079
Phone (828) 580-7962

Other practice location 1

1041 Morganton Blvd SW Ste 100
Lenoir, NC 28645-5605
Phone (828) 991-3278

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020001272 NC Practitioner - Urology 8022079383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Louisville School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Stone Center PLLCGroup PAC ID 2961315718, 71 clinicians

Practice addresses (Care Compare)

1208 Hickory Blvd SW
Suite 102
Lenoir, NC 28645-6461
Phone (828) 991-4660

1907 S Hawthorne Rd
Winston Salem, NC 27103-3916
Phone (336) 765-6373

2201 S Sterling St
Morganton, NC 28655-4044
Phone (336) 765-6373

730 Malcolm Blvd
Connelly Springs, NC 28612-8079

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Feb 15, 2010 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Piedmont Stone Center PLLC Urology CurrentSince Oct 1, 1999 Accepting new patients
Piedmont Stone Center PLLC Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Urology Past Accepting new patients

Locations

1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

1907 S Hawthorne Rd
Winston Salem, NC 27103

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: mbauer107904@direct.unc.nchie.net

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

Hospital & facility affiliations 5

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497799977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MALCOLM BLVD STE 100",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286128079",
            "telephone_number": "828-580-7962",
            "fax_number": "828-580-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MALCOLM BLVD STE 100",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286128079",
            "telephone_number": "828-580-7962",
            "fax_number": "828-580-3392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 Morganton Blvd SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455605",
            "country_code": "US",
            "telephone_number": "828-991-3278",
            "fax_number": "828-580-3283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "9900164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connelly Springs, NC

Sources for this page

Verify at the official NPI Registry.