Active NPI
Bryan Tremayne Tuttle, M.D.
- Anatomic Pathology Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 2015-00470
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992968952 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015-00470 | NC | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Queen City Gastroenterology & Hepatology, PC | Current | Accepting new patients | |
| Instride Foot and Ankle Specialists, PLLC | Current | Accepting new patients | |
| Ecu Physicians Diagnostic Pathology Services | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| App-Ecp, LLC | Current | Accepting new patients | |
| Instride Foot and Ankle Specialists, PLLC | Current | 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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
- Primary Podiatric Medicine Podiatrist
- Concord, NC
- NPI 1457601601
SC
-
- Clinical Medical Laboratory
- Wilson, NC
- NPI 1578708368
-
- Gastroenterology Physician
- Charlotte, NC
- NPI 1750682431
-
- Clinical Pathology/Laboratory Medicine Physician
- Gastonia, NC
- NPI 1073891719
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, NC
- NPI 1558695288
-
- Primary Podiatric Medicine Podiatrist
- King, NC
- NPI 1063390862
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.