Organization Active NPI

Hospice & Palliative Care Charlotte Region

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Charlotte, NC
National Provider Identifier
1881843076
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOSPICE & PALLIATIVE CARE CHARLOTTE REGION
Practice address
7845 Little Ave
Charlotte, NC 28226-8198
Phone
(704) 375-0100
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Mr. Peter A Brunnick, CPA
Title
President/Ceo
Phone
(704) 335-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

7845 Little Ave
Charlotte, NC 28226-8198

Mailing address

PO Box 470408
Charlotte, NC 28247-0408
Phone (704) 375-0100

Other practice location 1

900 Dontia Dr
Lincolnton, NC 28092-3643
Phone (704) 732-6146

Other practice location 2

7600 Little Ave
Charlotte, NC 28226-8165
Phone (704) 375-0100

Other practice location 3

11900 Vanstory Dr
Huntersville, NC 28078-8121
Phone (704) 375-0100

Other identifiers 1

IdentifierTypeStateIssuer
89015M4MedicaidNC

Other names 1

  • Palliative Medicine Consultants Other name

National Provider Directory

National Provider Directory
Tax ID family
Hospice Palliative Care CH4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8919 Park Rd
Ste 100
Charlotte, NC 28210

8919 Park Rd
Apt 1000
Charlotte, NC 28210
Phone (704) 945-9900

7845 Little Ave
Ste 100
Charlotte, NC 28226

1061 Red Ventures Dr
Ste 130
Fort Mill, SC 29707
Phone (803) 548-3708

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1881843076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "704-375-0100",
            "fax_number": "704-887-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268198",
            "telephone_number": "704-375-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Dontia Dr",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280923643",
            "country_code": "US",
            "telephone_number": "704-732-6146",
            "fax_number": "704-736-0264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7600 Little Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268165",
            "country_code": "US",
            "telephone_number": "704-375-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11900 Vanstory Dr",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280788121",
            "country_code": "US",
            "telephone_number": "704-375-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE & PALLIATIVE CARE CHARLOTTE REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BRUNNICK",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "704-335-3501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015M4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Medicine Consultants",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.