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

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 7

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

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 (203 clinicians)
Select Physical Therapy Holdings Inc (1,992 clinicians)

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 Home health agency · Pollocksville, NC · CCN 347333
  • Pruitthealth Home Health New Bern Home health agency · New Bern, NC · CCN 347026
  • Amedisys Home Health Home health agency · Snow Hill, NC · CCN 347252
  • Continuum Home Care & Hospice Hospice · Jacksonville, NC · CCN 341582
  • Community Hospice LLC Hospice · New Bern, NC · CCN 341586
  • Carolina East Medical Center Hospital · New Bern, NC · CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20040628000248 NC Practitioner - Family Practice 6800872177 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Family Medicine Current
since Feb 18, 2013
Accepting new patients
Carolinaeast Physicians Family Medicine Current Accepting new patients
Carolinaeast Physicians Current
since Feb 18, 2013
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

  • Direct secure messaging: bgill19334@carolinaeastmc.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
891173WMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2017.

{
    "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

All providers in New Bern, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.