Individual provider Active NPI

Carley Ann Bria, M.D.

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1740625946
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R2063 Issued in TX
Practice address
10628 Park Rd
Department of Emergency Medicine
Charlotte, NC 28210-8407
Phone
(704) 667-1188
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2015-00800 NC
Emergency Medicine Physician 207P00000X R2063 TX Primary

Addresses

Primary practice location

10628 Park Rd
Department of Emergency Medicine
Charlotte, NC 28210-8407

Mailing address

10628 Park Rd
Department of Emergency Medicine
Charlotte, NC 28210-8407
Phone (704) 667-1188

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
I20180110000249 TX Practitioner - Emergency Medicine 5092037812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

919 E 32ND St
St David'S Med Ctr
Austin, TX 78705-2703
Phone (830) 997-4353

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00800NCMDEmergency Medicine Physician
R2063TXMDEmergency Medicine Physician
NONENCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

15610 S Ih 35
Buda, TX 78610
Phone (512) 447-2211

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1740625946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407",
            "telephone_number": "704-667-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407",
            "telephone_number": "704-667-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIA",
        "first_name": "CARLEY",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2015-00800",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.