Bryan Nelson Warlick, MPT
Individual provider Active NPI Physical Therapist · North Charleston, SC
NPI 1154471852 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154471852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5107 (SC)
- Practice address
- 2070 Northbrook Blvd Ste A10
North Charleston, SC 29406-9253 - Phone
- (843) 797-5167
- Fax
- (843) 797-5723
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5107 | SC | MD | Professional Counselor |
| 9919 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physical Therapy | Past | Accepting new patients | |
| Premier Physical Therapy | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5107 | SC | Yes |
| Physical Therapist | 225100000X | PT008378 | GA |
Addresses
Primary practice location
2070 Northbrook Blvd Ste A10
North Charleston, SC 29406-9253
Mailing address
2070 Northbrook Blvd Ste A10
North Charleston, SC 29406-9253
Phone (843) 797-5167
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP-3587 | Medicaid | SC |
Other providers in North Charleston, SC
- Katherine Walter
- Warby Parker Inc.
- Jonathan Quinn Ward
- Queontay Sherita Ward
- Eveline Adams Waring
- James W Warner
- Sinclair Warner
- Elizabeth Warren
- Karen Warren
- Tracie Warren
All providers in North Charleston, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.