Tanya C Bralley, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1792 Issued in SC

Practice address

8121 Rourk St
Myrtle Beach, SC 29572-4128

Phone

(843) 692-5000

Fax

(843) 692-5010

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Cancer Center LLCGroup PAC ID 1456265503, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

Merit-based Incentive Payment System (MIPS)

Final score

94.12 of 100Reported as group

Promoting interoperability

91

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbralley@yourcarecommunity.org

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.

• Coastal Cancer Center LLC

  • Hematology & Oncology Physician
  • Myrtle Beach, SC
  • NPI 1881614170
  Medicare reassignment Care Compare group NPD
• Coastal Cancer Center LLC

  • Hematology & Oncology Physician
  • Conway, SC
  • NPI 1063432391
  NPD
• Coastal Cancer Center LLC

  • Hematology & Oncology Physician
  • Loris, SC
  • NPI 1205856556
  NPD
• Coastal Cancer Center, LLC

  • Hematology & Oncology Physician
  • Murrells Inlet, SC
  • NPI 1336169531
  NPD
• Bluefield Emergency Physicians Inc

  • Emergency Medicine Physician
  • Bluefield, WV
  • NPI 1073627089
  NPD (past)
• Bluefield HBP Medical Group LLC

  • Anesthesiology Physician
  • Bluefield, WV
  • NPI 1750699260
  NPD (past)
• Bluefield Regional Medical Center

  • General Acute Care Hospital
  • Bluefield, WV
  • NPI 1407805633
  NPD (past)
• Bluefield Regional Medical Center Inc

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1184890808
  NPD (past)
• Princeton Community Hospital Assn., Inc

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1235446485
  NPD (past)

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

• Grand Strand Regional Medical Center LLC

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation
• McLeod Loris Seacoast Hospital

  • General Acute Care Hospital
  • Loris, SC
  • NPI 1306123344
  Care Compare affiliation

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1073667234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-692-5000",
            "fax_number": "843-692-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-692-5000",
            "fax_number": "843-692-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALLEY",
        "first_name": "TANYA",
        "middle_name": "C",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Sophia Boyle, RN
• Katarina Boyles
• Heidi Bozard
• Theresa Lucille Bozza-Hicks, MA, LPC, CMHIMP
• Elizabeth Renee Bralley, BSW
• Denise R Brand, LPC
• James Elliott Brannon, MD
• Brenda Williams Bratton, LPN
• Ronald Dale Braughton, PA-C
• Jacob Hurlan Brazee, MD

• Medical Physician Assistant in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.