Individual provider Active NPI

Brant Walton Turner, PA-C

  • Physician Assistant
  • Easley, SC
National Provider Identifier
1104013614
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1249 Issued in SC
Practice address
115 Brushy Creek Rd
Easley, SC 29642-1120
Phone
(864) 635-0376
Fax
(864) 442-6848
NPI assigned
Sep 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1249 SC Primary

Addresses

Primary practice location

115 Brushy Creek Rd
Easley, SC 29642-1120

Mailing address

420 The Pkwy Ste N
Greer, SC 29650-5205
Phone (864) 743-1776

Other practice location 1

11402 Anderson Rd
Greenville, SC 29611-7557
Phone (864) 631-2799

Other identifiers 1

IdentifierTypeStateIssuer
0948PAMedicaidSC

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000536 SC Practitioner - Physician Assistant 6305884131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halo Clinical Services LLCGroup PAC ID 3870931926, 3 clinicians

Practice addresses (Care Compare)

420 The Pkwy
Suite N
Greer, SC 29650-5205
Phone (703) 509-3310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Emergency Physicians, LLC Past Accepting new patients
Doctors Care, PA Past Accepting new patients
Carolina Spine Pain LLC PastSince Dec 5, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bturner209644@direct.ghs.myhfn.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1104013614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 THE PKWY STE N",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505205",
            "telephone_number": "864-743-1776",
            "fax_number": "864-214-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421120",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11402 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296117557",
            "country_code": "US",
            "telephone_number": "864-631-2799",
            "fax_number": "864-522-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "BRANT",
        "middle_name": "WALTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0948PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.