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HybridPrimary Care

Bream Medical

Quick Facts

Membership Price Range$99/month per adult (1 year contract); $300/month for family of four; Business Plan: $99/employee/month for 20+ employees, $125/employee/month for under 20 employees (1 year contract)
Practice TypeHybrid
LocationWindsor, Salisbury, Stokesdale, Edenton
DoctorsJohn Bream MD, Primary Care
Telehealth TypeVideo visits and virtual provider access
Insurance AcceptedAetna, Amerihealth, BCBS, Blue Medicare, Carolina Complete, Cigna, Healthy Blue, Humana, Medicare, Medicaid, Medcost, UHC Community Plan, Wellcare
Telehealth AvailableYes

About

At Bream Medical in Windsor, NC, Dr. John Bream delivers primary care, urgent care, and telemedicine through a hybrid model built around affordability and direct access. He founded the practice after his family's own experience with the costs of high-deductible insurance coverage. That experience shaped everything about how Bream Medical operates. The practice serves patients across four North Carolina locations: Windsor, Salisbury, Edenton, and Stokesdale. Dr. Bream accepts walk-ins at any time, offers same-day appointments, and provides 24/7 virtual access to care. The clinical scope is broad. Services include chronic disease management, women's health, point-of-care diagnostics, IV fluids, laceration repair, spirometry, and a tirzepatide-based weight loss program. Bream Medical holds a particular depth in long COVID: Dr. Bream has treated or consulted on more than 1,200 long COVID patients and co-authored two peer-reviewed papers on the condition. Membership plans start at $99 per adult per month, and the practice also accepts insurance and self-pay options.

Details

Address

119 E. Granville St., Windsor, NC 27983

Membership

$99/monthly

Membership Details

$99 per adult/month (1 year contract). Family of four: $300/month. Children can be added for acute visits only. Includes 1 physical per adult/year (EKG and labs: CBC, CMP, TSH, Lipid Panel, Vit D), 1 sports/camp physical per child/year, 11 simple urgent care/follow-up/telemedicine visits per year, 20% discount on visits after 4 urgent care visits used, skip-the-line urgent care appointments, 24/7 virtual access to provider. Business plan: $99/employee/month for 20+ employees or $125/employee/month for fewer than 20 employees.

Typical Appointment

45 minutes

Telemedicine Same-Day Appointments

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Frequently Asked Questions

The individual adult membership at Bream Medical runs $99 per month on a one-year contract. A family of four pays $300 per month. Businesses with 20 or more employees pay $99 per employee per month; smaller groups pay $125 per employee per month. Children can join for acute visits only.

Each adult membership includes one annual physical per year with an EKG and labs covering CBC, CMP, TSH, lipid panel, and vitamin D. Members also receive 11 simple urgent care, follow-up, or telemedicine visits per year, plus a 20% discount on visits after using four urgent care visits. The plan includes skip-the-line urgent care appointments and 24/7 virtual access to Dr. Bream. Children's memberships include one sports or camp physical per year.

Yes. Bream Medical accepts a range of insurance carriers including Aetna, BCBS, Cigna, Humana, Medicare, Medicaid, UHC Community Plan, and others. The practice also offers self-pay cash pricing and subscription plans for patients who prefer those options.

Yes. Bream Medical accepts walk-ins at any time with no appointment necessary. You can also schedule an appointment in advance if you prefer. Same-day appointments are available.

Yes. Bream Medical offers telemedicine visits to anyone located in North Carolina. Members receive 24/7 virtual access to Dr. Bream as part of their subscription. The practice also uses telemedicine for its weight loss program, with monthly check-ins and medication shipped directly to patients.

Bream Medical offers a tirzepatide ODT-based weight loss program. At the initial appointment, which Dr. Bream conducts in-office or via telemedicine, he reviews your medical history and weight loss history and assesses whether tirzepatide ODT is appropriate. If you qualify, the practice ships the medication directly to you. Dr. Bream then conducts monthly telemedicine check-ins to track your progress. The practice does not accept insurance for this program.

Annual physical exams run at least 45 minutes to allow Dr. Bream to address all patient concerns thoroughly. Direct primary care appointments range from 30 to 60 minutes, with additional time for complex cases.

Bream Medical does not provide complex specialty care, pregnancy or maternity care, cancer-related care, CT or MRI imaging, ultrasound, opioid or benzodiazepine management, or biopsies. Dr. Bream refers patients to appropriate specialists when those needs arise.

Yes. Bream Medical offers a business plan for employers. Companies with 20 or more employees pay $99 per employee per month. Smaller businesses with fewer than 20 employees pay $125 per employee per month.

Bream Medical operates locations in Windsor, Salisbury, Edenton, and Stokesdale, NC. Not all locations offer every service. The Stokesdale and Edenton locations include in-house X-ray. Telemedicine is available to any patient in North Carolina, regardless of location.

Practice last updated June 11, 2026