Brian M Heaster, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18825 Issued in SC

Practice address

201 Cashua St
Darlington, SC 29532-3301

Phone

(843) 393-7452

Fax

(843) 393-6310

NPI assigned

Nov 14, 2005

Last updated

Nov 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of South Carolina School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Healthcare, IncGroup PAC ID 4688869696, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bheaster48943@directmcleodehealth.org
• Direct secure messaging: brian.heaster.1@20108.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesis Healthcare, Inc.

  dba Pee Dee Health Care

  • Federally Qualified Health Center (FQHC)
  • Darlington, SC
  • NPI 1437484862
  Medicare reassignment Care Compare group NPD
• Genesis Healthcare, Inc.

  dba Olanta Family Care

  • Federally Qualified Health Center (FQHC)
  • Olanta, SC
  • NPI 1255641346
  NPD
• Genesis Healthcare, Inc.

  dba Mobile Health Clinic #1

  • Federally Qualified Health Center (FQHC)
  • Walterboro, SC
  • NPI 1881440758
  NPD
• Genesis Healthcare, Inc.

  dba Genesis Healthcare Florence

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1255305280
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capital Care Resources of South Carolina, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Florence, SC
  • NPI 1528433521
  Care Compare affiliation
• Hartsville, LLC

  dba Carolina Pines Regional Medical Center

  • General Acute Care Hospital
  • Hartsville, SC
  • NPI 1174500458
  Care Compare affiliation
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1225010572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WEST AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036901",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CASHUA ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323301",
            "telephone_number": "843-393-7452",
            "fax_number": "843-393-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEASTER",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "18825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188255",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harrison ENT Inc (The Medicine Shoppe)
• Harrison ENT. Inc. (The Medicine Shoppe)
• Hartsville Medical Enrichment Services LLC
• Hartsville Medical Enrichment Services, LLC
• Heather Heape, REGISTERED NURSE
• Carla Kenisha Hickman
• Hobbs Eye Clinic
• Ashley C Hodge, RN
• Thomas B Hokanson, MD
• Braidyn Holland

• Family Medicine Physician in Darlington, SC
• Providers in Darlington, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.