Individual provider Active NPI

Brandon Thomas Gregory, PA

  • Physician Assistant
  • Rock Hill, SC
National Provider Identifier
1861044042
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5784 Issued in SC
Practice address
200 Herlong Ave S Ste a
Rock Hill, SC 29732-1182
Phone
(803) 324-1028
Fax
(803) 328-6455
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-09245 NC
Physician Assistant 363A00000X 5784 SC Primary

Addresses

Primary practice location

200 Herlong Ave S Ste a
Rock Hill, SC 29732-1182

Mailing address

104 Dillard CT
Easley, SC 29642-8195
Phone (864) 420-3270

Other practice location 1

2134 14th Avenue Cir NW
Hickory, NC 28601-7357
Phone (828) 580-2280

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200114001112 NC Practitioner - Physician Assistant 9234564691 Reassigns benefits to 1 organization
I20250415003696 SC Practitioner - Physician Assistant 9234564691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

200 Herlong Ave S
Rock Hill, SC 29732-1182

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 324-1950

222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 329-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5784SCMDPhysical Therapist
0010-09245NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Physician Assistant CurrentSince Oct 23, 2019 Accepting new patients

Locations

1500 Concord Ter
Fl 5
Sunrise, FL 33323
Phone (954) 384-0175

275 Beatty Dr
Belmont, NC 28012
Phone (704) 355-9330

101 E Wt Harris Blvd
Ste 4001
Charlotte, NC 28262
Phone (704) 863-5401

2134 14th Avenue Cir NW
Hickory, NC 28601
Phone (828) 580-2129

16455 Statesville Rd
Ste 310
Huntersville, NC 28078
Phone (704) 801-2501

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

355 Venus St
#A
Monroe, NC 28112
Phone (704) 291-9360

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1861044042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DILLARD CT",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428195",
            "telephone_number": "864-420-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HERLONG AVE S STE A",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321182",
            "telephone_number": "803-324-1028",
            "fax_number": "803-328-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2134 14th Avenue Cir NW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286017357",
            "country_code": "US",
            "telephone_number": "828-580-2280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "BRANDON",
        "middle_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09245",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.