Individual provider Active NPI

Bryan Tremayne Tuttle, M.D.

  • Anatomic Pathology Physician
  • Gastonia, NC
National Provider Identifier
1992968952
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
2015-00470 Issued in NC
Practice address
2525 Court Dr
Gastonia, NC 28054-2140
Phone
(704) 834-2000
Fax
(704) 834-2500
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 2015-00470 NC Primary
Cytopathology Physician 207ZC0500X 2015-00470 NC

Addresses

Primary practice location

2525 Court Dr
Gastonia, NC 28054-2140

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Other practice location 1

2555 Court Dr Ste 120
Gastonia, NC 28054-2177
Phone (704) 834-4335

Other identifiers 1

IdentifierTypeStateIssuer
1992968952MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160725001217 NC Practitioner - Pathology 7214179795 Reassigns benefits to 4 organizations
I20200825001737 SC Practitioner - Pathology 7214179795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Brody School of Medicine at East Carolina University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians
Instride Foot and Ankle Specialists, PLLCGroup PAC ID 7012168271, 46 clinicians

Practice addresses (Care Compare)

1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (704) 834-2000

1036 Branchview Dr
Suite 216
Concord, NC 28025-0113
Phone (704) 886-1918

1190 Hwy 9 Byp W
Lancaster, SC 29720-1709
Phone (803) 285-1411

130 Lake Concord Rd NE
Suite B
Concord, NC 28025-1906
Phone (704) 886-1918

2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

Hospital & facility affiliations

  • Caromont Regional Medical Center Hospital, Gastonia, NC, CCN 340032

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00470NCMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Jul 15, 2024 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Jul 15, 2024 Accepting new patients
Queen City Gastroenterology & Hepatology, PC CurrentSince Feb 2, 2021 Accepting new patients
Instride Foot and Ankle Specialists, PLLC CurrentSince Aug 1, 2017 Accepting new patients
Ecu Physicians Diagnostic Pathology Services Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2016 Accepting new patients
App-Ecp, LLC CurrentSince Jan 1, 2022 Accepting new patients
Instride Foot and Ankle Specialists, PLLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

320 Lillington Ave
Ste 101
Charlotte, NC 28204
Phone (704) 332-1574

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

1022 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 786-4482

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

2555 Court Dr
Ste 120
Gastonia, NC 28054
Phone (704) 834-3070

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2693 Forest Hills Rd SW
Ste B
Wilson, NC 27893
Phone (252) 234-2841

1190 Highway 9 Byp W
Lancaster, SC 29720
Phone (803) 283-9920

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 1

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1992968952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542140",
            "telephone_number": "704-834-2000",
            "fax_number": "704-834-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Court Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542177",
            "country_code": "US",
            "telephone_number": "704-834-4335",
            "fax_number": "704-834-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "BRYAN",
        "middle_name": "TREMAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NC",
            "license": "2015-00470",
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NC",
            "license": "2015-00470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992968952",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.