Active NPI
Peter Kales Brady, MD
- Emergency Medicine Physician
- Moncks Corner, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21589
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215895 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 21589 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Bon Secours St Francis Xavier Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| Roper St. Francis Mount Pleasant Hospital | Current | Accepting new patients | |
| Roper Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| Roper St. Francis Mount Pleasant Hospital | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Roper St. Francis Mount Pleasant Hospital | Current | Accepting new patients | |
| Roper Hospital Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | 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.
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- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
Emergency Medicine, SC
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1770867442
Emergency Medicine, SC
-
- Emergency Medicine Physician
- Moncks Corner, SC
- NPI 1104983055
Emergency Medicine, SC
-
- Cardiovascular Disease Physician
- Mt Pleasant, SC
- NPI 1629499298
SC
-
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
- Emergency Medicine Physician
- Hilton Head Island, SC
- NPI 1609689728
Emergency Medicine
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- N. Charleston, SC
- NPI 1104563758
-
- Critical Care Medicine (Internal Medicine) Physician
- Mt Pleasant, SC
- NPI 1578362232
-
- Emergency Medicine Physician
- Mount Pleasant, SC
- NPI 1649587270
Emergency Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.