NPIMap

Individual provider Active NPI

Paul David Brown, PA-C

  • Medical Physician Assistant
  • Bamberg, SC
National Provider Identifier
1053559211
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA298 Issued in SC
Practice address
498 North St
Bamberg, SC 29003-1377
Phone
(803) 395-3600
NPI assigned
Jan 27, 2009
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA298 SC Primary

Addresses

Primary practice location

498 North St
Bamberg, SC 29003-1377

Mailing address

PO Box 23321
New York, NY 10087-4321

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090302000443 SC Practitioner - Physician Assistant 8325104250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

3488 Main Hwy
Bamberg, SC 29003-1865
Phone (843) 792-1414

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA298SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Dec 14, 2013 Accepting new patients
Musc Community Physicians CurrentSince Apr 10, 2024 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties Current Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Sep 17, 2018 Accepting new patients
Musc Community Physicians CurrentSince Apr 10, 2024 Accepting new patients
The Regional Medical Center of Orangeburg and Calhoun Counties CurrentSince Dec 14, 2013 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

3488 Main Hwy
Bamberg, SC 29003

498 North St
Bamberg, SC 29003
Phone (803) 245-5144

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

215 Dorange Rd
Branchville, SC 29432
Phone (803) 274-8400

1097B Cook Rd
Orangeburg, SC 29118
Phone (803) 534-5110

1175 Cook Rd
Ste 320
Orangeburg, SC 29118
Phone (803) 395-3960

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Interoperability endpoints

  • Direct secure messaging: pbrown465864@direct.musc.edu

Organizations & group practices 9

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1053559211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 NORTH ST",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031377",
            "telephone_number": "803-395-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "PA298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "498 North St",
            "city": "Bamberg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290031377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bamberg, SC

Sources for this page

Verify at the official NPI Registry.