Individual provider Active NPI

Brett C Stoll, MD

  • Interventional Cardiology Physician
  • Anderson, SC
National Provider Identifier
1093791071
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
21708 Issued in SC
Practice address
100 Healthy Way
Suite 1250
Anderson, SC 29621-7915
Phone
(864) 224-2465
Fax
(864) 224-1146
NPI assigned
Dec 21, 2005
Last updated
Jan 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Cardiovascular Disease Physician 207RC0000X 21708 SC
Interventional Cardiology Physician 207RI0011X 21708 SC Primary

Addresses

Primary practice location

100 Healthy Way
Suite 1250
Anderson, SC 29621-7915

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-6927

Other identifiers 2

IdentifierTypeStateIssuer
P00970781OtherSCRR MEDICARE
217081MedicaidSC

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051011000684 SC Practitioner - Cardiovascular Disease (Cardiology) 2769407576 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 8, 2010 Accepting new patients
Greenville Health System CurrentSince May 22, 2010 Accepting new patients
Anmed Health CurrentSince Jul 28, 2000 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 8, 2010 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Anmed Health Cardiovascular Disease Current Accepting new patients
Anmed Health Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Greenville Health System Current Accepting new patients
Anmed Health CurrentSince Jul 28, 2000 Accepting new patients
Anmed Health Cardiovascular Disease Current Accepting new patients
Anmed Health Cardiovascular Disease CurrentSince Mar 10, 2019 Accepting new patients
Diagnostic Radiology of Anderson, P.a. Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

100 Healthy Way
Ste 1250
Anderson, SC 29621
Phone (864) 224-2465

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: bstoll10789@direct.anmedhealth.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1093791071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-512-6927",
            "fax_number": "864-512-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "address_2": "SUITE 1250",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217915",
            "telephone_number": "864-224-2465",
            "fax_number": "864-224-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "BRETT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "21708",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "21708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00970781",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217081",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.