Active NPI
Bryan Lotici, DO
- Family Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2025-02745
- Practice address
- 5211 College Rd S
Wilmington, NC 28412-2209 - Phone
- (910) 772-6290
- Fax
- (910) 341-3429
- NPI assigned
- Apr 5, 2022
- Last updated
- Nov 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2025-02745 | NC | Primary |
| Family Medicine Physician | 207Q00000X | LL87757 | SC |
Addresses
Primary practice location
5211 College Rd S
Wilmington, NC 28412-2209
Mailing address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Other practice location 1
853 N Church St Ste 510
Spartanburg, SC 29303-3077
Phone (864) 560-6193
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5211 S College Rd
Wilmington, NC 28412-2209
Phone (910) 341-1540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington ASC LLC | Current | Accepting new patients | |
| Wilmington Health PLLC | Single Specialty | Current | Accepting new patients |
Locations
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
5211 College Rd S
Wilmington, NC 28412
Phone (910) 772-6290
Interoperability endpoints
- bryan.lotici.p1@direct.wilmingtonhealth.nextgenshare.com
Organizations & group practices 2
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.
-
dba Wilmington Health Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1548456478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1720729890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5211 COLLEGE RD S",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122209",
"telephone_number": "910-772-6290",
"fax_number": "910-341-3429"
}
],
"practiceLocations": [
{
"address_1": "853 N Church St Ste 510",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033077",
"country_code": "US",
"telephone_number": "864-560-6193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOTICI",
"first_name": "BRYAN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2025-02745",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "SC",
"license": "LL87757",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.