Individual provider Active NPI

Brenton Sinopoli

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1164096517
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LL86296 Issued in SC
Practice address
Prisma Health Medical Group Internal Medicine Center
1801 Sunset Drive
Columbia, SC 29203
Phone
(803) 434-4153
Fax
(803) 434-4160
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL86296 SC Primary

Addresses

Primary practice location

Prisma Health Medical Group Internal Medicine Center
1801 Sunset Drive
Columbia, SC 29203

Mailing address

Prisma Health Medical Group Internal Medicine Center
1801 Sunset Drive
Columbia, SC 29203
Phone (803) 434-4153

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818003002 SC Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9931504651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1164096517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PRISMA HEALTH MEDICAL GROUP INTERNAL MEDICINE CENTER",
            "address_2": "1801 SUNSET DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-4153",
            "fax_number": "803-434-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRISMA HEALTH MEDICAL GROUP INTERNAL MEDICINE CENTER",
            "address_2": "1801 SUNSET DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-4153",
            "fax_number": "803-434-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINOPOLI",
        "first_name": "BRENTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL86296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.