Active NPI
Bret Guidry, M.D.
- Psychiatry Physician
- Rock Hill, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 84050
- Practice address
- 502 Cherry Rd Ste 201
Rock Hill, SC 29732-3118 - Phone
- (910) 584-0359
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD.13334R | LA | |
| Psychiatry Physician | 2084P0800X | MD.13334R | LA | |
| Psychiatry Physician | 2084P0800X | 2013-01930 | NC | |
| General Practice Physician | 208D00000X | 13334R | LA | |
| Psychiatry Physician | 2084P0800X | 84050 | SC | Primary |
Addresses
Primary practice location
502 Cherry Rd Ste 201
Rock Hill, SC 29732-3118
Mailing address
1642 Essex Hall Dr
Rock Hill, SC 29730-3997
Phone (910) 584-0359
Other practice location 1
122 Gateway Blvd Ste C
Mooresville, NC 28117-5544
Phone (704) 360-3637
Other practice location 2
300 East Hosppital Rd
Esienhower Army Medical Center
Ft Gordon, GA 30905-0001
Phone (706) 787-7228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in New Orleans, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10620 Park Rd
Suite 208
Charlotte, NC 28210-0106
Phone (704) 360-3637
3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637
871 Lowcountry Blvd
Suite 200
Mount Pleasant, SC 29464-3096
Phone (843) 501-1099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.13334R | LA | MD | Psychiatry Physician |
| 84050 | SC | MD | Psychiatry Physician |
| 13334R | LA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle Beach Counseling Center | Current | Accepting new patients | |
| Charleston Counseling Center PC | Current | Accepting new patients | |
| Asheli Thompson | Past | Accepting new patients |
Locations
871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137
502 Cherry Rd
Ste 201
Rock Hill, SC 29732
Phone (678) 763-5994
Interoperability endpoints
- integrativewellnesssolutions.bretguidry@146232.advancedmd-direct.com
- bret.guidry.p1@direct.ncfmc.nextgenshare.com
- lifestancehealth.bretguidry@149035.advancedmd-direct.com
Organizations & group practices 4
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.
-
dba Lifestance Health
- Mental Health Counselor
- Mount Pleasant, SC
- NPI 1316375678
-
dba LifeStance Health
- Psychologist
- Mooresville, NC
- NPI 1447760871
-
- Mental Health Counselor
- Myrtle Beach, SC
- NPI 1235784661
-
dba Integrative Wellness Solutions
- Community/Behavioral Health Agency
- Mooresville, NC
- NPI 1073955621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1588634554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1642 ESSEX HALL DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297303997",
"telephone_number": "910-584-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 CHERRY RD STE 201",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323118",
"telephone_number": "910-584-0359"
}
],
"practiceLocations": [
{
"address_1": "122 Gateway Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281175544",
"country_code": "US",
"telephone_number": "704-360-3637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 East Hosppital Rd",
"address_2": "Esienhower Army Medical Center",
"address_purpose": "LOCATION",
"city": "Ft Gordon",
"state": "GA",
"postal_code": "309050001",
"country_code": "US",
"telephone_number": "706-787-7228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUIDRY",
"first_name": "BRET",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "MD.13334R",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "MD.13334R",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2013-01930",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "13334R",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "84050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.