Active NPI
Bryan Cole Chalk, CRNA
- Certified Registered Nurse Anesthetist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 91147
- Practice address
- 2131 S 17TH Street
Wilmington, NC 28401 - Phone
- (910) 667-5831
- NPI assigned
- Sep 19, 2012
- Last updated
- Mar 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 91147 | NC | Primary |
Addresses
Primary practice location
2131 S 17TH Street
Wilmington, NC 28401
Mailing address
7612 Culloden Court
Wilmington, NC 28411
Phone (252) 414-0453
Other practice location 1
1802 S 17th St
Wilmington, NC 28401-6444
Phone (910) 343-1031
Other practice location 2
6781 Parker Farm Dr Ste 200
Wilmington, NC 28405-3161
Phone (910) 343-1031
Other practice location 3
2305 Canterwood Dr
Wilmington, NC 28401-7300
Phone (910) 343-0119
Other practice location 4
510 Carolina Bay Dr Ste 100
Wilmington, NC 28403-2046
Phone (910) 763-9833
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bchalk74556@direct.nhrmc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044
500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91147 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Pender Memorial Hospital Incorporated | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Coastal Carolina Sedation Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| NMG Southpark Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
13 Medical Campus Dr NW
#101
Supply, NC 28462
Phone (910) 721-4300
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
1802 S 17th St
Wilmington, NC 28401
Phone (910) 343-1031
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
2305 Canterwood Dr
Wilmington, NC 28401
Phone (910) 343-0119
510 Carolina Bay Dr
Ste 100
Wilmington, NC 28403
Phone (910) 338-0795
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
6781 Parker Farm Dr
Ste 200
Wilmington, NC 28405
Phone (910) 343-1031
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilmington, NC
- NPI 1033412267
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1114544996
Anesthesiology
-
dba Novant Nurse Anesthesia Professional Services
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1952690109
Nurse Anesthetist, Certified Registered
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1053444901
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Anesthesiology
-
dba Donayre Cancer Care Center Pharmacy
- Specialty Pharmacy
- Whiteville, NC
- NPI 1275079451
-
dba Novant Health New Hanover Wound Care and Hyperbaric Medicine Profee
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1942550728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7612 CULLODEN COURT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28411",
"telephone_number": "252-414-0453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH STREET",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-667-5831"
}
],
"practiceLocations": [
{
"address_1": "1802 S 17th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016444",
"country_code": "US",
"telephone_number": "910-343-1031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6781 Parker Farm Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284053161",
"country_code": "US",
"telephone_number": "910-343-1031",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2305 Canterwood Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017300",
"country_code": "US",
"telephone_number": "910-343-0119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Carolina Bay Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284032046",
"country_code": "US",
"telephone_number": "910-763-9833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHALK",
"first_name": "BRYAN",
"middle_name": "COLE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "91147",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bchalk74556@direct.nhrmc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "2131 S 17TH STREET",
"city": "WILMINGTON",
"state": "NC",
"country_code": "US",
"postal_code": "28401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.