Brittany Barefoot Bostic

Key facts

NPI

1124497722

Entity type

Individual (NPI type 1)

Primary specialty

Critical Care Neonatal Nurse Practitioner 363LN0005X

License

19782 (SC)

Practice address

316 Calhoun St
Charleston, SC 29401-1113

Phone

(843) 402-1638

Fax

(843) 724-2455

NPI assigned

Sep 24, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Carolina Family Care, Inc Family Medicine Physician · Charleston, SC · NPI 1184655722
  Medicare reassignment NPD SC
• Roper Saint Francis Physicians Network Surgery Physician · Charleston, SC · NPI 1124431606
  Medicare reassignment NPD SC
• Carolina Family Care Family Medicine Physician · Mount Pleasant, SC · NPI 1669743357
  NPD
• Roper Saint Francis Physicians Network Obstetrics & Gynecology Physician · Charleston, SC · NPI 1811857352
  NPD
• Roper Saint Francis Physicians Network Surgery Physician · Charleston, SC · NPI 1831419076
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Ms. Brittany Barefoot Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 28, 2020.

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1124497722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 TYBO DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290724300",
            "telephone_number": "864-992-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-402-1638",
            "fax_number": "843-724-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Medical Park Road",
            "address_2": "NICU",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "864-992-1522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "BRITTANY",
        "middle_name": "BAREFOOT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "SC",
            "license": "19782",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "SC",
            "license": "217218",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "SC",
            "license": "19782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3795",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BAREFOOT",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

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• Lacey Boss
• Rebekah Fay Boss
• Allison Claire Bossong, PA-C
• Hayley Bucknum Bost
• Emily Ryan Bott, OTD, OTR/L
• Jamison Scott Bottomley, PHD
• Kathryn Ann Bottonari, PH.D.
• Peter Elliott Botzis, MD
• Gregory Boucher, D.O.

All providers in Charleston, SC · Critical Care Neonatal Nurse Practitioner in South Carolina