| Brian Patrick Regan, DO | |
|
628 E 12th St, Washington, NC 27889-3409 | |
| (252) 975-4100 | |
| Not Available |
| Full Name | Brian Patrick Regan |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 10 Years |
| Location | 628 E 12th St, Washington, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366979874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2020-04599 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 2020-04599 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnston Health | Smithfield, NC | Hospital |
| Ashe Memorial Hospital | Jefferson, NC | Hospital |
| Vidant Medical Center | Greenville, NC | Hospital |
| Vidant Edgecombe Hospital | Tarboro, NC | Hospital |
| Vidant Duplin Hospital | Kenansville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Rex Hospital Inc | 0840109864 | 673 |
| Ashe Memorial Hospital Inc | 7315912870 | 14 |
| Entity Name | Ashe Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316045800 PECOS PAC ID: 7315912870 Enrollment ID: O20041029000666 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Entity Name | Rex Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Patrick Regan, DO 300 W 27th St, Lumberton, NC 28358-3075 Ph: (910) 671-5000 | Brian Patrick Regan, DO 628 E 12th St, Washington, NC 27889-3409 Ph: (252) 975-4100 |