Organization Active NPI

Clow Medical Group LLC

Doing business as Black Bear Primary Care

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1083431928
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CLOW MEDICAL GROUP LLC
Doing business as
Black Bear Primary Care
Practice address
1100 Rutherford Rd Ste B
Greenville, SC 29609-3945
Phone
(865) 581-7480
Fax
(864) 532-4299
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Brian David Clow, MDNPI 1568738466
Title
Owner
Phone
(864) 581-7480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1100 Rutherford Rd Ste B
Greenville, SC 29609-3945

Mailing address

1100 Rutherford Rd Ste B
Greenville, SC 29609-3945
Phone (865) 581-7480

Other identifiers 1

IdentifierTypeStateIssuer
PG2692MedicaidSC

Other names 1

  • Black Bear Primary Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.clow@871441686593540.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204002337 SC Part B Supplier - Clinic/Group Practice 6800322678 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2315481Clow Medical Group LLC1100 Rutherford Rd, Greenville, SC 29609Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: brian.clow@871441686593540.direct.elationemr.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1083431928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 RUTHERFORD RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093945",
            "telephone_number": "865-581-7480",
            "fax_number": "864-532-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RUTHERFORD RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093945",
            "telephone_number": "865-581-7480",
            "fax_number": "864-532-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOW MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "CLOW",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-581-7480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG2692",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.clow@871441686593540.direct.elationemr.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Rutherford Rd Ste B",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296093945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Black Bear Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.