NPIMap

Individual provider Active NPI

Elliott Bradley Courter, D.O.

  • Family Medicine Physician
  • Belmont, NC
National Provider Identifier
1558744359
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020-03835 Issued in NC
Practice address
1220 Spruce St
Belmont, NC 28012-3370
Phone
(704) 825-5333
NPI assigned
Jun 30, 2015
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020-03835 NC Primary

Addresses

Primary practice location

1220 Spruce St
Belmont, NC 28012-3370

Mailing address

1220 Spruce St
Belmont, NC 28012-3370
Phone (704) 825-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20210317000500 NC Practitioner - Internal MedicinePractitioner - Family Practice 9931417755 Reassigns benefits to 1 organization
I20210923001931 SC Practitioner - Internal MedicinePractitioner - Family Practice 9931417755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, shared by 2 NPIs, 425 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1200 Village Harbor Dr
Lake Wylie, SC 29710-9092

1201 Village Harbor Dr
Suite 104
Lake Wylie, SC 29710-9276
Phone (803) 831-6859

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

9310 Strause Dr
Suite B
Charlotte, NC 28214-5054
Phone (704) 398-6490

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc Single Specialty Current Accepting new patients
Caromont Medical Group Inc Single Specialty Current Accepting new patients
Caromont Medical Group, Inc. Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Caromont Medical Group, Inc. Family Medicine CurrentSince Oct 24, 2025 Accepting new patients
Caromont Medical Group Inc Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Caromont Medical Group Inc Single Specialty Current Accepting new patients
Caromont Medical Group Inc Single Specialty Past Accepting new patients

Locations

1220 Spruce St
Belmont, NC 28012
Phone (704) 825-5333

9310 Strause Dr
Ste B
Charlotte, NC 28214
Phone (704) 398-6490

910 E Church St
Ste A
Cherryville, NC 28021
Phone (704) 445-0422

1895 Hoffman Rd
#A
Gastonia, NC 28054
Phone (704) 865-1749

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

700 N Main St
Stanley, NC 28164
Phone (704) 263-8945

1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400

Organizations & group practices 7

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 4

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1558744359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SPRUCE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123370",
            "telephone_number": "704-825-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SPRUCE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123370",
            "telephone_number": "704-825-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTER",
        "first_name": "ELLIOTT",
        "middle_name": "BRADLEY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-03835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

Verify at the official NPI Registry.