Individual provider Active NPI

Melanie Breland, APRN

  • Family Nurse Practitioner
  • Orangeburg, SC
National Provider Identifier
1124563390
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20660 Issued in SC
Practice address
940 Holly St # 4984
Orangeburg, SC 29115-4984
Phone
(803) 536-2725
Fax
(803) 534-3118
NPI assigned
Dec 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20660 SC Primary

Addresses

Primary practice location

940 Holly St # 4984
Orangeburg, SC 29115-4984

Mailing address

940 Holly St # 4984
Orangeburg, SC 29115-4984
Phone (803) 536-2725

Other practice location 1

1995 Saint Matthews Rd
Orangeburg, SC 29118-2405
Phone (803) 928-5525

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
I20231013000148 SC Practitioner - Nurse Practitioner 0446605372 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Sep 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince Sep 1, 2023 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Southern Medical Management, LLC PastSince May 1, 2022 Accepting new patients
Sweetgrass Pediatrics PastSince May 1, 2022 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

940 Holly St
#4984
Orangeburg, SC 29115
Phone (803) 536-2725

630 Laurel St
Orangeburg, SC 29115
Phone (803) 534-5550

940 Holly St
Orangeburg, SC 29115
Phone (803) 536-2725

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.

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1124563390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 HOLLY ST # 4984",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154984",
            "telephone_number": "803-536-2725",
            "fax_number": "803-534-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 HOLLY ST # 4984",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154984",
            "telephone_number": "803-536-2725",
            "fax_number": "803-534-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291182405",
            "country_code": "US",
            "telephone_number": "803-928-5525",
            "fax_number": "803-928-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRELAND",
        "first_name": "MELANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.