Individual provider Active NPI

Suzanna Montes Bran

  • Licensed Practical Nurse
  • Dillon, SC
National Provider Identifier
1093678807
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
52163 Issued in SC
Practice address
413 State Rd
Dillon, SC 29543
Phone
(843) 774-2742
Fax
(843) 774-2742
NPI assigned
Dec 8, 2025
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 52163 SC Primary

Addresses

Primary practice location

413 State Rd
Dillon, SC 29543

Mailing address

134 Grices Ferry CT
Mullins, SC 29574-5999
Phone (854) 208-3907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52163SCMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1093678807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GRICES FERRY CT",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295745999",
            "telephone_number": "854-208-3907",
            "fax_number": "854-208-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 STATE RD",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "29543",
            "telephone_number": "843-774-2742",
            "fax_number": "843-774-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAN",
        "first_name": "SUZANNA",
        "middle_name": "MONTES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "SC",
            "license": "52163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.