Active NPI
Bernard Murty Reen III, MD
- Interventional Cardiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 38416
- Practice address
- 125 Queens Rd Ste 200
Charlotte, NC 28204-3578 - Phone
- (704) 343-9800
- Fax
- (704) 347-2011
- NPI assigned
- Jul 11, 2005
- Last updated
- Jul 21, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 38416 | NC | |
| Interventional Cardiology Physician | 207RI0011X | 38416 | NC | Primary |
Addresses
Primary practice location
125 Queens Rd Ste 200
Charlotte, NC 28204-3578
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 343-9800
Other practice location 1
1718 E 4th St
Ste 501
Charlotte, NC 28204-3260
Phone (704) 343-9800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8970798 | Medicaid | NC | |
| N38416 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | breen34988@direct.novanthealth.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Heart Care of Charlotte, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Hilton Head Heart PA | Cardiovascular Disease | Past | Accepting new patients |
| The Presbyterian Hospital | Past | Accepting new patients |
Locations
300 Billingsley Rd
Ste 101
Charlotte, NC 28211
Phone (704) 334-1401
6701 Carmel Rd
Unit 355
Charlotte, NC 28226
Phone (704) 334-1401
Interoperability endpoints
- breen34988@direct.novanthealth.org
Organizations & group practices 3
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 Flow Therapy Charlotte
- Cardiovascular Disease Physician
- Charlotte, NC
- NPI 1467810663
-
dba Professional Services of Presbyterian Orthopedic
- Specialist
- Charlotte, NC
- NPI 1669535977
-
- Cardiovascular Disease Physician
- Bluffton, SC
- NPI 1295777035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1740288042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-343-9800",
"fax_number": "704-887-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 QUEENS RD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043578",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011"
}
],
"practiceLocations": [
{
"address_1": "1718 E 4th St",
"address_2": "Ste 501",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043260",
"country_code": "US",
"telephone_number": "704-343-9800",
"fax_number": "704-887-7570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REEN",
"first_name": "BERNARD",
"middle_name": "MURTY",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "38416",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "38416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8970798",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N38416",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "breen34988@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1718 E 4th St",
"address_2": "Ste 501",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043260",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.