Individual provider Active NPI

Brian Gerald Myers, M.D.

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1710062799
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9900107 Issued in NC
Practice address
3500 Mount Holly Huntersville Rd
Suite 200
Charlotte, NC 28216-8644
Phone
(704) 399-7800
NPI assigned
Oct 26, 2006
Last updated
Oct 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9900107 NC Primary

Addresses

Primary practice location

3500 Mount Holly Huntersville Rd
Suite 200
Charlotte, NC 28216-8644

Mailing address

40520 County Highway 34
Ogema, MN 56569-9612
Phone (218) 983-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180416000496 TX Practitioner - Family Practice 7618946724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Dakota School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 5 Miles N of Leupp Chapter House
Leupp Health Station
Leupp, AZ 86035
Phone (928) 289-4646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9900107NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Earth Indian Health Center Current Accepting new patients
Winslow Indian Health Care Group CurrentSince Nov 10, 2025 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Nov 10, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jan 7, 2019 Accepting new patients
Pine Point Health Station Current Accepting new patients
Smokey Mountain Healthcare Assoc PA Family Medicine Past Accepting new patients
Appalachian Regional Medical Associates, Inc. Family Medicine Past Accepting new patients
Smoky Mountain Medical Associates, P.a. Past Accepting new patients
Carolina Family Medicine & Urgent Care PA Past Accepting new patients

Locations

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

2471 310th Ave
#C
Mahnomen, MN 56557
Phone (218) 935-2238

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

Organizations & group practices 11

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1710062799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40520 COUNTY HIGHWAY 34",
            "city": "OGEMA",
            "state": "MN",
            "postal_code": "565699612",
            "telephone_number": "218-983-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MOUNT HOLLY HUNTERSVILLE RD",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168644",
            "telephone_number": "704-399-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "BRIAN",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9900107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.