Active NPI
Clow Medical Group LLC
Doing business as Black Bear Primary Care
- Internal Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian David Clow, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PG2692 | Medicaid | SC |
Other names 1
- Black Bear Primary Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2315481 | Clow Medical Group LLC | Certificate of waiver | Dec 12, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1568738466
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.