Individual provider Active NPI

Charles Frank Bruyere, M.D.

  • Family Medicine Physician
  • Greenwood, SC
National Provider Identifier
1124266911
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SC20043 Issued in SC
Practice address
464-B NW 72 Bypass
Greenwood, SC 29649
Phone
(864) 943-1143
Fax
(864) 943-2066
NPI assigned
Feb 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SC20043 SC Primary

Addresses

Primary practice location

464-B NW 72 Bypass
Greenwood, SC 29649

Mailing address

464-B NW 72 Bypass
Color Me Well Urgent Care
Greenwood, SC 29649
Phone (864) 943-1143

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
SC20043SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia, Inc. Past Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients
Georgia Em-I Medical Services, LLC Past Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients

Organizations & group practices 4

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": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1124266911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464-B NW 72 BYPASS",
            "address_2": "COLOR ME WELL URGENT CARE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-943-1143",
            "fax_number": "864-943-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464-B NW 72 BYPASS",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-943-1143",
            "fax_number": "864-943-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUYERE",
        "first_name": "CHARLES",
        "middle_name": "FRANK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "SC20043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.