Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Brantley Austin Tart, PNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1093467599

Mr. Brantley Austin Tart, PNP-PC is a Pediatric Nurse Practitioner in Wilmington, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022
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Practice location Address checks out

715 Medical Center Dr
Wilmington, NC 28401-7574
Phone: (910) 763-2476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16747 Us Highway 17 Ste 114, Hampstead, NC 28443-3086 — (910) 763-2476

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 5015665 (NC)

Record details

NPI number1093467599
Entity typeIndividual (Type 1)
GenderMale
Credentials PNP-PC
Sole proprietorNo
NPI enumeratedJanuary 25, 2022
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

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