NPIMap

Individual provider Active NPI

Brian Thomas Garry, PA-C

  • Physician Assistant
  • Louisburg, NC
National Provider Identifier
1639442452
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00696300 Issued in NJ
Practice address
100 Hospital Dr
Louisburg, NC 27549-2256
Phone
(919) 496-5131
Fax
(919) 497-8018
NPI assigned
Feb 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 028167 NY
Physician Assistant 363A00000X 50.007496 OH
Physician Assistant 363A00000X PA9449 MA
Medical Physician Assistant 363AM0700X 0010-03382 NC
Physician Assistant 363A00000X 25MP00696300 NJ Primary

Addresses

Primary practice location

100 Hospital Dr
Louisburg, NC 27549-2256

Mailing address

1000 Park Forty PLZ
Suite 550
Durham, NC 27713-5249
Phone (800) 291-4042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NJ, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120321000291 NC Practitioner - Physician Assistant 3779743224 Reassigns benefits to 9 organizations
I20220705000462 NJ Practitioner - Physician Assistant 3779743224 Reassigns benefits to 2 organizations
I20241031001526 VA Practitioner - Physician Assistant 3779743224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.06 of 100Reported as group
Quality
83.09
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-03382NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Emergency Physicians, PLLC Past Accepting new patients
Emergency Coverage Services, PC Physician Assistant Past Accepting new patients

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1639442452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK FORTY PLZ",
            "address_2": "SUITE 550",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135249",
            "telephone_number": "800-291-4042",
            "fax_number": "954-267-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492256",
            "telephone_number": "919-496-5131",
            "fax_number": "919-497-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRY",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-10",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028167",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007496",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA9449",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-03382",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00696300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

Verify at the official NPI Registry.