Individual provider Active NPI

Peter Kales Brady, MD

  • Emergency Medicine Physician
  • Moncks Corner, SC
National Provider Identifier
1003856352
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
21589 Issued in SC
Practice address
730 Stony Landing Rd
Moncks Corner, SC 29461-2904
Phone
(843) 720-8363
Fax
(843) 761-7881
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 21589 SC Primary

Addresses

Primary practice location

730 Stony Landing Rd
Moncks Corner, SC 29461-2904

Mailing address

PO Box 601495
Charlotte, NC 28260-1495
Phone (843) 789-1620

Other identifiers 1

IdentifierTypeStateIssuer
215895MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000478 SC Practitioner - Emergency Medicine 0547318651 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21589SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine Current Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Current Accepting new patients
Roper Hospital Inc Emergency Medicine CurrentSince Jun 19, 2013 Accepting new patients
Roper St. Francis Mount Pleasant Hospital Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Sep 1, 2020 Accepting new patients
Roper Hospital Inc. CurrentSince Jun 19, 2013 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Apollomd Group Services, LLC Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

349 Tidewatch Dr
Bluffton, SC 29909
Phone (842) 757-8433

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

730 Stony Landing Rd
Moncks Corner, SC 29461
Phone (843) 572-9211

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

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

7832 Rivers Ave
North Charleston, SC 29406
Phone (843) 824-8733

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

3970 Grandview Dr
Simpsonville, SC 29680
Phone (864) 255-1000

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

Organizations & group practices 12

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1003856352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601495",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601495",
            "telephone_number": "843-789-1620",
            "fax_number": "843-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 STONY LANDING RD",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612904",
            "telephone_number": "843-720-8363",
            "fax_number": "843-761-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "PETER",
        "middle_name": "KALES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "21589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215895",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

Verify at the official NPI Registry.