Individual provider Active NPI

Bevin Elizabeth Hearn, M.D.

  • Infectious Disease Physician
  • Charlotte, NC
National Provider Identifier
1770719015
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2014-00577 Issued in NC
Practice address
1025 Morehead Medical Dr
Suite 300C
Charlotte, NC 28204-2963
Phone
(704) 355-0607
Fax
(704) 302-8004
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2014-00577 NC Primary
Internal Medicine Physician 207R00000X 240199 MA
Infectious Disease Physician 207RI0200X 263825 NY

Addresses

Primary practice location

1025 Morehead Medical Dr
Suite 300C
Charlotte, NC 28204-2963

Mailing address

PO Box 601372
Charlotte, NC 28260-1372
Phone (704) 355-0607

Other identifiers 3

IdentifierTypeStateIssuer
2014-00577OtherNCNC LICENSE
NC2148MedicaidSC
1770719015MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140903000969 NC Practitioner - Infectious DiseasePractitioner - Internal Medicine 9638397722 Reassigns benefits to 2 organizations
I20211106000036 MA Practitioner - Infectious DiseasePractitioner - Internal Medicine 9638397722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of South Carolina School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000

Hospital & facility affiliations

  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240199MAMDInternal Medicine Physician
263825NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha'S Vineyard Hospital, Inc. CurrentSince Nov 15, 2023 Accepting new patients
Martha'S Vineyard Hospital, Inc. Internal Medicine Current Accepting new patients
Newton Wellesley Hospital Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Martha'S Vineyard Hospital, Inc. Internal Medicine CurrentSince Nov 15, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Oct 25, 2019 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Infectious Disease CurrentSince Oct 1, 2021 Accepting new patients

Locations

2000 Washington St
Ste 320
Newton Lower Falls, MA 02462
Phone (617) 243-6597

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

1025 Morehead Medical Dr
Ste 300C
Charlotte, NC 28204
Phone (704) 355-0607

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

Interoperability endpoints

  • Direct secure messaging: hearn.bevin.nwh@direct.partners.masshiway.net

Organizations & group practices 8

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 3

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1770719015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601372",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601372",
            "telephone_number": "704-355-0607",
            "fax_number": "704-302-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR",
            "address_2": "SUITE 300C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042963",
            "telephone_number": "704-355-0607",
            "fax_number": "704-302-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARN",
        "first_name": "BEVIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "2014-00577",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "240199",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "263825",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "2014-00577",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2148",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770719015",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.