Individual provider Active NPI

Richard Dale Brinson, MSN, APRN, NP-C

  • Acute Care Nurse Practitioner
  • North Charleston, SC
National Provider Identifier
1003230780
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
18671 Issued in SC
Practice address
9330 Medical Plaza Dr
North Charleston, SC 29406-9104
Phone
(843) 847-4595
NPI assigned
Feb 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 18671 SC Primary
Critical Care Medicine Nurse Practitioner 363LC0200X 18671 SC
Family Nurse Practitioner 363LF0000X 18671 SC

Addresses

Primary practice location

9330 Medical Plaza Dr
North Charleston, SC 29406-9104

Mailing address

1802 Canal Dr
Moncks Corner, SC 29461-9227
Phone (843) 934-9816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140512000369 SC Practitioner - Nurse Practitioner 0143453456 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18671SCMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Sep 9, 2021 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC CurrentSince Dec 1, 2021 Accepting new patients
Southeastern Hospitalist Services PC CurrentSince Mar 1, 2022 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Sep 9, 2021 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Sep 1, 2014 Accepting new patients

Locations

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

2863 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 469-6803

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1003230780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 CANAL DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294619227",
            "telephone_number": "843-934-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-847-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINSON",
        "first_name": "RICHARD",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "18671",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "SC",
            "license": "18671",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.