Active NPI
Brenton Sinopoli
- Internal Medicine Physician
- Columbia, SC
National Provider Identifier
1164096517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL86296
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210818003002 | SC | Order and Referring Only - 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.