Active NPI
Brett Clayton Niblack, MD
- Obstetrics & Gynecology Physician
- Shelby, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 200300075
- Practice address
- 110 W Grover St
Shelby, NC 28150-3825 - Phone
- (980) 487-2800
- NPI assigned
- Dec 29, 2005
- Last updated
- Jul 15, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 200300075 | NC | Primary |
Addresses
Primary practice location
110 W Grover St
Shelby, NC 28150-3825
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
7810 Providence Rd
Ste 105
Charlotte, NC 28226-2954
Phone (704) 446-7800
Other practice location 2
1025 Morehead Medical Dr
Ste 500 FL 5
Charlotte, NC 28204-2963
Phone (704) 355-3149
Other practice location 3
101 E W T Harris Blvd
Ste 2320
Charlotte, NC 28262-3485
Phone (704) 547-0858
Other practice location 4
1025 Morehead Medical Dr
Ste 450
Charlotte, NC 28204-2963
Phone (704) 446-7800
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bniblack128402@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
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
- Obstetrics/Gynecology
- Education
- Wake Forest University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2209 S Sterling St
Suite 400
Morganton, NC 28655-4092
Phone (828) 580-4661
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300075 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| DLP Frye Medical Group LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| DLP Frye Medical Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Blue Ridge Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Atrium Health North Market Network LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
7810 Providence Rd
Ste 105
Charlotte, NC 28226
Phone (704) 446-7800
2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000
1025 Morehead Medical Dr
Ste 500
Charlotte, NC 28204
Phone (704) 355-3149
1025 Morehead Medical Dr
Ste 450
Charlotte, NC 28204
Phone (704) 446-7800
101 E Wt Harris Blvd
Ste 2320
Charlotte, NC 28262
Phone (704) 547-0858
4525 Cameron Valley Pkwy
Ste 4100D
Charlotte, NC 28211
Phone (704) 801-7310
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1781 Tate Blvd SE
Ste 201
Hickory, NC 28602
Phone (828) 322-3725
915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458
915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005
821 E King St
Kings Mtn, NC 28086
Phone (704) 734-0304
1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278
447 McAlister Rd
Ste 3500
Lincolnton, NC 28092
Phone (980) 212-6230
447 McAlister Rd
Ste 3200
Lincolnton, NC 28092
Phone (980) 212-6300
2293 Sugar Hill Rd
Ste C
Marion, NC 28752
Phone (828) 652-3019
2209 S Sterling St
Ste 400
Morganton, NC 28655
Phone (828) 580-4661
708 McBrayer Homestead Rd
Shelby, NC 28152
Phone (704) 434-8123
110 W Grover St
Shelby, NC 28150
Phone (704) 487-5258
Interoperability endpoints
- bniblack128402@carolinashealthcaresystem.direct-ci.com
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.
-
dba Women's Health Group-Valdese
- Obstetrics & Gynecology Physician
- Connelly Springs, NC
- NPI 1467993931
-
dba Atrium Health Primary Care One Health Family Medicine
- Family Medicine Physician
- Mooresville, NC
- NPI 1871112920
Obstetrics & Gynecology
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba The Sanger Clinic
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
dba FryeCare Lincolnton Medical Group
- Rural Health Clinic/Center
- Lincolnton, NC
- NPI 1154005965
-
dba Blue Ridge Multispecialty Clinic - Lenoir
- Geriatric Medicine (Internal Medicine) Physician
- Lenoir, NC
- NPI 1023376829
-
dba Blue Ridge Transitional Care Clinic
- Internal Medicine Physician
- Morganton, NC
- NPI 1578424685
-
dba Atrium Health Women's Care McAlister OB/GYN
- Obstetrics & Gynecology Physician
- Lincolnton, NC
- NPI 1023328309
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Atrium Health Urgent Care
- Family Medicine Physician
- Charlotte, NC
- NPI 1437168937
-
dba FryeCare Woman's Clinic
- Obstetrics & Gynecology Physician
- Hickory, NC
- NPI 1194263087
-
dba McDowell Family Practice
- Family Medicine Physician
- Marion, NC
- NPI 1679166821
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMC Blue Ridge
- General Acute Care Hospital
- Rutherford College, NC
- NPI 1306821798
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
Hospital
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Valdese, NC
- NPI 1487707964
Hospital
-
dba UNC Health Blue Ridge
- General Acute Care Hospital
- Morganton, NC
- NPI 1700860491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1760469993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W GROVER ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503825",
"telephone_number": "980-487-2800"
}
],
"practiceLocations": [
{
"address_1": "7810 Providence Rd",
"address_2": "Ste 105",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282262954",
"country_code": "US",
"telephone_number": "704-446-7800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Morehead Medical Dr",
"address_2": "Ste 500 FL 5",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042963",
"country_code": "US",
"telephone_number": "704-355-3149",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 E W T Harris Blvd",
"address_2": "Ste 2320",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623485",
"country_code": "US",
"telephone_number": "704-547-0858",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Morehead Medical Dr",
"address_2": "Ste 450",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042963",
"country_code": "US",
"telephone_number": "704-446-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIBLACK",
"first_name": "BRETT",
"middle_name": "CLAYTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "200300075",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bniblack128402@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "110 W Grover St",
"city": "Shelby",
"state": "NC",
"country_code": "US",
"postal_code": "281503825",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.