Individual provider Active NPI

Bryan Hoag, M.D.

  • Diagnostic Radiology Physician
  • Charlotte, NC
National Provider Identifier
1619237690
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2014-02566 Issued in NC
Practice address
700 E Morehead St Ste 300
Charlotte, NC 28202
Phone
(704) 334-7800
NPI assigned
May 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2014-02566 NC Primary

Addresses

Primary practice location

700 E Morehead St Ste 300
Charlotte, NC 28202

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone (704) 334-7800

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
I20180213000901 NC Practitioner - Diagnostic Radiology 3971729542 Reassigns benefits to 2 organizations
I20180625001542 SC Practitioner - Diagnostic Radiology 3971729542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of Ny Upstate Medical University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945

1000 Healing Way
Matthews, NC 28104-4969
Phone (800) 821-1535

1010 E Dixon Blvd
Suite B
Shelby, NC 28152-6838
Phone (980) 487-2900

1025 Morehead Medical Dr
Suite 100
Charlotte, NC 28204-2964
Phone (704) 326-1945

1045 Negateway NE CT
Concord, NC 28025-2440
Phone (704) 362-1945

1045 Negateway Nect
Cocnord, NC 28025-2440
Phone (704) 334-7800

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-1945

10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-5391

1065 Negateway Nect
Concord, NC 28025-2440
Phone (704) 334-7800

1090 NW Gateway CT
Suite 202
Concord, NC 28025-2414
Phone (704) 403-9050

12016 Lemmond Farm Dr
Suite 100
Charlotte, NC 28227-8353
Phone (704) 863-9600

13640 Steelecroft Pkwy
Charlotte, NC 28278-7565
Phone (704) 334-7800

16035 Johnston Rd
Charlotte, NC 28277-2566
Phone (704) 667-0950

1656 Riverchase Blvd
Suite 1200
Rock Hill, SC 29732-0270
Phone (803) 327-9934

1802 E Main St
Lincolnton, NC 28092-3915
Phone (980) 212-2610

251 Eastway Dr
Charlotte, NC 28213-7103
Phone (704) 362-1945

2700 Providence Rd S
Waxhaw, NC 28173-6313
Phone (704) 334-7800

2711 Lane St
Kannapolis, NC 28083-9217
Phone (704) 334-7800

332 N Trade St
Suite 2000
Matthews, NC 28105-1728
Phone (704) 302-8500

433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (704) 362-1945

4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369

487 Lake Concord Rd NE
Concord, NC 28025-2934
Phone (704) 403-0200

500 Morven Rd
Wadesboro, NC 28170-2745
Phone (704) 362-1945

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 362-1945

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-02566NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince Jun 16, 2019 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jun 16, 2019 Accepting new patients
Charlotte Radiology PA Diagnostic Radiology PastSince Apr 18, 2018 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236

2293 Sugar Hill Rd
#G
Marion, NC 28752

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

2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572

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 12

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": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1619237690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022742",
            "telephone_number": "704-334-7800",
            "fax_number": "704-414-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MOREHEAD ST STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28202",
            "telephone_number": "704-334-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOAG",
        "first_name": "BRYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-23",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2014-02566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.