Individual provider Active NPI

Brandon Vargas, DO

  • Emergency Medicine Physician
  • Lumberton, NC
National Provider Identifier
1619533643
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2021-01177 Issued in NC
Practice address
300 W 27TH St
Lumberton, NC 28358-3075
Phone
(910) 671-5000
NPI assigned
May 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 2021-01177 NC Primary

Addresses

Primary practice location

300 W 27TH St
Lumberton, NC 28358-3075

Mailing address

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, AL, TN, AR5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20230124002577 NC Practitioner - Emergency Medicine 5294106571 Reassigns benefits to 2 organizations
I20230918002497 SC Practitioner - Emergency Medicine 5294106571 Reassigns benefits to 1 organization
I20251010001862 AL Practitioner - Emergency Medicine 5294106571 Reassigns benefits to 2 organizations
I20251017002950 TN Practitioner - Emergency Medicine 5294106571 Reassigns benefits to 2 organizations
I20251020001992 AR Practitioner - Emergency Medicine 5294106571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Gastonia Physician Services PLLCGroup PAC ID 3870719602, 66 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-8872

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 537-3337

222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 329-1234

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2000

Hospital & facility affiliations

  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131
  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
85.58
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-01177NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Robeson Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 15, 2023 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Jones Lake Emergency Group, PC Emergency Medicine CurrentSince Oct 17, 2022 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

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

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

451 E Charlotte Ave
Mt Holly, NC 28120
Phone (980) 834-2266

310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133

7620 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 365-8035

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: bvargas430887@directhisp.wakemed.org
  • Direct secure messaging: bvargas827539@direct.unc.nchie.net

Organizations & group practices 9

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 10

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1619533643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-671-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-671-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "BRANDON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2021-01177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.