Individual provider Active NPI

Bradley Len Icard

  • Pulmonary Disease Physician
  • Pinehurst, NC
National Provider Identifier
1720320898
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2019-00429 Issued in NC
Practice address
205 Page Rd
Pinehurst, NC 28374-8798
Phone
(910) 295-5511
NPI assigned
Mar 26, 2013
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2019-00429 NC Primary

Addresses

Primary practice location

205 Page Rd
Pinehurst, NC 28374-8798

Mailing address

205 Page Rd
Pinehurst, NC 28374-8798
Phone (910) 295-5511

Other practice location 1

1413 Greenway Ct
Sanford, NC 27330-6954
Phone (919) 292-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190807000157 NC Practitioner - Pulmonary Disease 1951536598 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCPC-18, LLCGroup PAC ID 2668741208, 31 clinicians
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians

Practice addresses (Care Compare)

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-9211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Pinehurst Medical Clinic, Inc. Pulmonary Disease CurrentSince Mar 3, 2025 Accepting new patients
MCPC-18, LLC Pulmonary Disease CurrentSince Feb 1, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 11, 2023 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Mar 3, 2025 Accepting new patients
MCPC-5, LLC CurrentSince Aug 1, 2025 Accepting new patients
Moses Cone Medical Services, Inc. Pulmonary Disease CurrentSince Jul 22, 2019 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jul 22, 2019 Accepting new patients
MCPC-5, LLC CurrentSince Aug 1, 2025 Accepting new patients
MCPC-5, LLC Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 11, 2023 Accepting new patients
Unc Physicians Netwrok, LLC Past Accepting new patients

Locations

208 W Salisbury St
Ste A
Asheboro, NC 27203
Phone (336) 523-0040

225 Capital Dr
Ste 101
Carthage, NC 28327
Phone (910) 215-5100

3716 Morganton Rd
Ste 2
Fayetteville, NC 28303
Phone (910) 215-5100

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

3518 Drawbridge Pkwy
Ste 220
Greensboro, NC 27410
Phone (336) 275-0927

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148

1021 W Hamlet Ave
Hamlet, NC 28345
Phone (910) 417-4100

108 Endo Ln
Ste 1
Hamlet, NC 28345
Phone (910) 205-8909

150 Ivey Ln
Ste A
Pinehurst, NC 28374
Phone (910) 215-5200

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

4565 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-5100

6322 Fayetteville Rd
Ste B
Raeford, NC 28376
Phone (910) 878-5100

1413 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1201

1602 Westover Dr
Sanford, NC 27330
Phone (919) 897-2250

1690 US Highway 1 S
Ste 100
Southern Pines, NC 28387
Phone (910) 684-2055

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: bradleyicard@phmc.allscriptsdirect.net

Organizations & group practices 12

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.

Hospital & facility affiliations 5

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1720320898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748798",
            "telephone_number": "910-295-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748798",
            "telephone_number": "910-295-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Greenway Ct",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273306954",
            "country_code": "US",
            "telephone_number": "919-292-1201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ICARD",
        "first_name": "BRADLEY",
        "middle_name": "LEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2019-00429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.