Individual provider Active NPI

Brian Patrick Rose, PAC

  • Physician Assistant
  • Raeford, NC
National Provider Identifier
1578079356
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6322 Fayetteville Rd
Raeford, NC 28376-7979
Phone
(910) 878-6721
NPI assigned
Dec 16, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6322 Fayetteville Rd
Raeford, NC 28376-7979

Mailing address

6322 Fayetteville Rd
Raeford, NC 28376-7979
Phone (910) 878-6721

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180222002479 NC Practitioner - Physician Assistant 7719248343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-5 LLCGroup PAC ID 4284881012, 31 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-7650

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (843) 479-9033

6322 Fayetteville Rd
Suite B
Raeford, NC 28376-7979
Phone (910) 878-5100

Hospital & facility affiliations

  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Jul 4, 2025 Accepting new patients
MCPC-5, LLC CurrentSince Jul 1, 2025 Accepting new patients
MCPC-5, LLC CurrentSince Jul 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc Physician Assistant CurrentSince Jul 4, 2025 Accepting new patients
FHPG, LLC Past Accepting new patients

Locations

108 Endo Ln
Ste 1
Hamlet, NC 28345
Phone (910) 205-8909

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6322 Fayetteville Rd
Ste B
Raeford, NC 28376
Phone (910) 878-5100

Interoperability endpoints

  • Direct secure messaging: brose3011891@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: brianrose@vcpa.allscriptsdirect.net
  • Direct secure messaging: brose126733@firsthealth.direct-ci.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 and National Provider Directory roles.

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": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1578079356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 FAYETTEVILLE RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767979",
            "telephone_number": "910-878-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 FAYETTEVILLE RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767979",
            "telephone_number": "910-878-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-16",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.