EDWIN C BRYSON III DDS
NPI 1285780791
Dentist - Endodontics in Charlotte, NC

Active since January 26, 2007Opted out of Medicare · through Feb 2, 2028
130 PROVIDENCE ROAD, CHARLOTTE, NC 28207(704) 377-1444(704) 377-1451 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edwin C Bryson Iii Dds NPPES

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

EDWIN C BRYSON III DDS (NPI 1285780791) is an individual endodontics provider in Charlotte, North Carolina, licensed in North Carolina (6956) and active in the NPI registry since January 2007. He has opted out of Medicare through February 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285780791
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameEDWIN C BRYSON IIICredential: DDS
Location Address130 PROVIDENCE ROADCharlotte, NC 28207
Mailing Address130 Providence RoadCharlotte, NC 28207 · (704) 377-1444 · Fax (704) 377-1451
Fax(704) 377-1451
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1285780791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in NC · 6956
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
130 PROVIDENCE ROAD, Charlotte, NC 28207

Other Identifiers 1

Medicaid89902C8NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Edwin C Bryson Iii Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2016 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2016
Opt-Out In Effect ThroughFebruary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Dentist (Endodontics)
130 PROVIDENCE ROAD
CHARLOTTE, NC 28207
Dentist (Endodontics)
130 PROVIDENCE ROAD
CHARLOTTE, NC 28207
Dentist (Endodontics)
130 PROVIDENCE ROAD
CHARLOTTE, NC 28207
Dentist (Endodontics)
130 PROVIDENCE ROAD
CHARLOTTE, NC 28207
Dentist (Endodontics)
130 PROVIDENCE ROAD
CHARLOTTE, NC 28207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Bryson's NPI number?

The NPI number for Edwin Bryson is 1285780791. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Edwin Bryson located?

Edwin Bryson practices at 130 Providence Road, Charlotte, NC 28207. The listed phone number is (704) 377-1444.

What is Edwin Bryson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Edwin Bryson enrolled in Medicare?

No. Edwin Bryson has opted out of Medicare through February 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edwin Bryson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.