Brandon Mychael Ware, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2196 Issued in SC

Practice address

9565 Highway 78
Suite 400
Ladson, SC 29456-4118

Phone

(843) 737-0437

NPI assigned

Oct 2, 2014

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Prisma Health Tuomey

  • Emergency Medicine Physician
  • Sumter, SC
  • NPI 1548625593
  Medicare reassignment NPD
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555
  Medicare reassignment
• Mount Pleasant Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Mount Pleasant, SC
  • NPI 1619271020
  Medicare reassignment
• Prisma Health Tuomey

  • Rehabilitation Hospital Unit
  • Sumter, SC
  • NPI 1609895663
  NPD

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1225431455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78",
            "address_2": "SUITE 400",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-737-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9565 HIGHWAY 78",
            "address_2": "SUITE 400",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564118",
            "telephone_number": "843-737-0437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "BRANDON",
        "middle_name": "MYCHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T Vroman, MD
• Wal-Mart Stores East LP
• Jennifer Ellen Walker, LISW-CP
• Caroline Legare Walpole
• Christopher Michael Walsh, OTR/L
• Ayienne Waring, DNP, APRN, FNP-BC
• Shirlene Yvette Washington-Mack, RN II
• Alicia M Washington
• Daijah Washington, OTD, OTR/L
• Regina N Wasser, PTA

• Medical Physician Assistant in Ladson, SC
• Providers in Ladson, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.

Verify at the official NPI Registry.