DR. BRET HARLEY GUSTAFSON MD NPI 1417687427

NPI Information

  • NPI: 1417687427
  • Provider Name: DR. BRET HARLEY GUSTAFSON, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 155 MEMORIAL DR
    PINEHURST, NC
    ZIP 28374
  • Phone: (910) 715-1000

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NPI Details

DR. Bret Harley Gustafson, MD is an emergency medicine in Pinehurst, NC with 4 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Bret Harley Gustafson, MD NPI is 1417687427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduation Year:2022

The provider's business location address is:

155 MEMORIAL DR
PINEHURST, NC
ZIP 28374-710
Phone: (910) 715-1000

The NPI 1417687427 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2022 and was last updated on 6/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine4351049814MICHIGANNo
2207P00000XEmergency Medicine2025-00190NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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