Individual provider Active NPI

Brian M. Trotta, M.D.

  • Diagnostic Radiology Physician
  • New Bern, NC
National Provider Identifier
1780874917
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101245001 Issued in VA
Practice address
722 Newman Rd
New Bern, NC 28562-5238
Phone
(252) 633-5057
Fax
(252) 633-0084
NPI assigned
Jul 25, 2007
Last updated
Nov 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116019242 VA
Nuclear Medicine Physician 207U00000X 0101245001 VA
Body Imaging Physician 2085B0100X 0101245001 VA
Neuroradiology Physician 2085N0700X 0101245001 VA
Nuclear Radiology Physician 2085N0904X 0101245001 VA
Pediatric Radiology Physician 2085P0229X 0101245001 VA
Radiation Oncology Physician 2085R0001X 0101245001 VA
Diagnostic Radiology Physician 2085R0202X 0101245001 VA Primary
Therapeutic Radiology Physician 2085R0203X 0101245001 VA
Vascular & Interventional Radiology Physician 2085R0204X 0101245001 VA
Radiological Physics Physician 2085R0205X 0101245001 VA
Diagnostic Ultrasound Physician 2085U0001X 0101245001 VA
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X 0101245001 VA

Addresses

Primary practice location

722 Newman Rd
New Bern, NC 28562-5238

Mailing address

PO Box 3099
Myrtle Beach, SC 29578-3099
Phone (843) 467-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20130702000540 NC Practitioner - Diagnostic Radiology 2466617279 Reassigns benefits to 1 organization
I20160421001631 SC Practitioner - Diagnostic Radiology 2466617279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

10 E Hospital St
Manning, SC 29102-3153
Phone (843) 467-2676

1303 Azalea CT
Suite C
Myrtle Beach, SC 29577-5765
Phone (843) 692-0570

199 Village Ctr Blvd
Suite 110
Myrtle Beach, SC 29579-3589
Phone (843) 692-0570

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 692-0570

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 692-0570

4000 Hwy 9 E
Little River, SC 29566-7833
Phone (843) 692-0570

5050 Hwy 17 Byp S
Myrtle Beach, SC 29588-4500
Phone (843) 692-0570

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 467-2676

711 Chesterfield Hwy
Cheraw, SC 29520-7002
Phone (843) 467-2676

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1916

945 82ND Pkwy
Myrtle Beach, SC 29572-4612
Phone (843) 692-0570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.77

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101245001VAMDNuclear Radiology Physician
0116019242VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Neuroimaging CurrentSince Jun 1, 2016 Accepting new patients
Musc Community Physicians CurrentSince Jul 15, 2024 Accepting new patients
Musc Community Physicians Diagnostic Radiology Current Accepting new patients
Seashore Imaging LLC Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Musc Community Physicians CurrentSince Jul 15, 2024 Accepting new patients
University of Virginia Physicians Group PastSince Nov 1, 2017 Accepting new patients
Eastern Radiologists, Inc Diagnostic Radiology Past Accepting new patients
Palmetto Pathology PA Past Accepting new patients

Locations

4252 Arendell St
Ste B
Morehead City, NC 28557
Phone (252) 247-9777

720 Newman Rd
New Bern, NC 28562

722 Newman Rd
New Bern, NC 28562
Phone (828) 884-3424

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Interoperability endpoints

  • Direct secure messaging: btrotta25604@directmcleodehealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1780874917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3099",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295783099",
            "telephone_number": "843-467-2676",
            "fax_number": "843-497-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625238",
            "telephone_number": "252-633-5057",
            "fax_number": "252-633-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTA",
        "first_name": "BRIAN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116019242",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101245001",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "VA",
            "license": "0101245001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.