BRYAN DWAYNE STUP MD
NPI 1063702165
Pediatrics in Goldsboro, NC

Q: What is Bryan Stup's NPI number?

The NPI number for Bryan Stup is 1063702165. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Bryan Stup's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Stup was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2011

2706 MEDICAL OFFICE PL, GOLDSBORO, NC 27534(919) 734-4736 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Mar 29, 2021 (2 updates tracked since 2021).

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About Bryan Dwayne Stup Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN DWAYNE STUP MD (NPI 1063702165) is an individual pediatrics provider in Goldsboro, North Carolina, licensed in North Carolina (2014-00559) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1063702165

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBRYAN DWAYNE STUPCredential: MD

Location Address2706 MEDICAL OFFICE PLGoldsboro, NC 27534-9460

Mailing Address2706 Medical Office PlGoldsboro, NC 27534-9460 · (919) 734-4736

Phone(919) 734-4736

Sole ProprietorYes

Enumeration DateApril 11, 2011

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1063702165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2014-00559

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2706 MEDICAL OFFICE PL, Goldsboro, NC 27534

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATIE MICHELLE ANTHONY ARNP

Nurse Practitioner (Pediatrics)