Brent Richard Gill, MD
Individual provider Active NPI Family Medicine Physician · New Bern, NC
NPI 1851361976 · NPPES record last updated Mar 17, 2017
Key facts
- NPI
- 1851361976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9800871 (NC)
- Practice address
- 2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238 - Phone
- (252) 638-4023
- Fax
- (252) 633-2833
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolinaeast Physicians
Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010
2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919
2636 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919
2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093
532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712
701 Newman Rd
New Bern, NC 28562-5239
Phone (252) 633-2081
705 Newman Rd
New Bern, NC 28562-5239
Phone (252) 633-2712
906 WB McLean Blvd
Cape Carteret, NC 28584-9211
Phone (252) 393-9007
Hospital & facility affiliations
- Centerwell Home Health
- Pruitthealth Home Health New Bern
- Amedisys Home Health
- Continuum Home Care & Hospice
- Community Hospice LLC
- Carolina East Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.61 of 100
- Quality
- 57.39
- Promoting interoperability
- 68
- Improvement activities
- 40
- Cost
- 77.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040628000248 | NC | Practitioner - Family Practice | 6800872177 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinaeast Physicians | Family Medicine | Current |
Accepting new patients |
| Carolinaeast Physicians | Family Medicine | Current | Accepting new patients |
| Carolinaeast Physicians | Current |
Accepting new patients |
Locations
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
2604 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 638-4023
137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010
Interoperability endpoints
- bgill19334@carolinaeastmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9800871 | NC | Yes |
Addresses
Primary practice location
2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Mailing address
PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 638-4023
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891173W | Medicaid | NC |
NPI Registry JSON
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1851361976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896206",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896206",
"telephone_number": "252-638-4023",
"fax_number": "252-633-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 DR MARTIN LUTHER KING JR BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285624238",
"telephone_number": "252-638-4023",
"fax_number": "252-633-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "BRENT",
"middle_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9800871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891173W",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
- Minerva Sincerely Gibbs
- Wood B Gibbs
- Vera Monique Gibson
- Jacqueline Giganti
- Johanna Mae Gilbert
- Jennie Michelina Gillespie
- Shannon Gillikin
- Louise K. Gilmore
- Dannielle Gilroy
- Tera Ashley Giroux
All providers in New Bern, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.