Organization Active NPI

Original Design Builders

  • Contractor
  • Fort Mill, SC
National Provider Identifier
1033090709
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
ORIGINAL DESIGN BUILDERS
Practice address
1787 Pleasant Rd
Fort Mill, SC 29708-7862
Phone
(803) 200-2021
NPI assigned
Sep 10, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mr. Brian Jay Brenner
Title
President
Phone
(803) 200-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

1787 Pleasant Rd
Fort Mill, SC 29708-7862

Mailing address

1787 Pleasant Rd
Fort Mill, SC 29708-7862
Phone (803) 200-2021

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1033090709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 PLEASANT RD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087862",
            "telephone_number": "803-200-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 PLEASANT RD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087862",
            "telephone_number": "803-200-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGINAL DESIGN BUILDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-200-2021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.