Individual provider Active NPI

Bret Guidry, M.D.

  • Psychiatry Physician
  • Rock Hill, SC
National Provider Identifier
1588634554
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
84050 Issued in SC
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

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180410003241 NC Practitioner - Obstetrics/GynecologyPractitioner - Psychiatry 5496018178 Reassigns benefits to 1 organization
I20200902003199 SC Practitioner - Obstetrics/Gynecology 5496018178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Psychiatry
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
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

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

LicenseStateTypeSpecialty
MD.13334RLAMDPsychiatry Physician
84050SCMDPsychiatry Physician
13334RLAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Counseling Center CurrentSince Aug 14, 2023 Accepting new patients
Charleston Counseling Center PC CurrentSince Aug 14, 2023 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

  • Direct secure messaging: integrativewellnesssolutions.bretguidry@146232.advancedmd-direct.com
  • Direct secure messaging: bret.guidry.p1@direct.ncfmc.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.