Individual provider Active NPI

Bryan Drew Blitstein, MD

  • Surgery Physician
  • Mooresville, NC
National Provider Identifier
1932185626
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9700865 Issued in NC
Practice address
146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529
Phone
(704) 660-4040
Fax
(704) 660-4884
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9700865 NC Primary

Addresses

Primary practice location

146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529

Mailing address

PO Box 110566
Durham, NC 27709-5566
Phone (919) 620-4555

Other identifiers 1

IdentifierTypeStateIssuer
8910672MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001877 NC Practitioner - General Surgery 1658342324 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Kansas City, School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians
Novant Health Prep II LLCGroup PAC ID 1052835311, 47 clinicians
Surgical Specialists of Charlotte PAGroup PAC ID 3779519285, 5 clinicians

Practice addresses (Care Compare)

146 Medical Park Rd
Suite 108
Mooresville, NC 28117-8529
Phone (704) 660-4584

7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)17
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Prep II LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Oct 27, 2025 Accepting new patients
Surgical Specialists of Charlotte, P.a. Surgery CurrentSince Apr 1, 2000 Accepting new patients
Novant Health Prep II LLC Surgery Current Accepting new patients
Charlotte Trauma Services, PLLC Past Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients

Locations

1918 Randolph Rd
Charlotte, NC 28207
Phone (704) 342-8000

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

1918 Randolph Rd
Ste 130
Charlotte, NC 28207
Phone (704) 316-6005

10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500

10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076

8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

10030 Gilead Rd
Ste 245
Huntersville, NC 28078
Phone (704) 895-9390

10030 Gilead Rd
Ste 300
Huntersville, NC 28078
Phone (704) 384-7972

1450 Matthews Township Pkwy
Ste 360
Matthews, NC 28105
Phone (704) 358-0308

1450 Matthews Township Pkwy
Ste 250
Matthews, NC 28105
Phone (704) 841-1444

146 Medical Park Rd
Ste 108
Mooresville, NC 28117
Phone (704) 662-0876

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bblitstein670076@direct.medicine.duke.edu
  • Direct secure messaging: bblitstein44336@direct.novanthealth.org

Organizations & group practices 8

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 2

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1932185626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MEDICAL PARK RD STE 108",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178529",
            "telephone_number": "704-660-4040",
            "fax_number": "704-660-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITSTEIN",
        "first_name": "BRYAN",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9700865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910672",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.