Active NPI
Brandi Martinez, APRN, FNP-BC
- Family Nurse Practitioner
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19994
- Practice address
- 9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870 - Phone
- (803) 434-4555
- Fax
- (803) 434-4599
- NPI assigned
- Feb 4, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19994 | SC | Primary |
Addresses
Primary practice location
9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870
Mailing address
3841 Fernleaf Rd
Columbia, SC 29206-3319
Phone (803) 556-7331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4153 | Medicaid | SC |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients |
Locations
400 Palmetto Health Pkwy
Columbia, SC 29212
Phone (803) 296-5579
3 Richland Medical Park Dr
Ste 310
Columbia, SC 29203
Phone (803) 434-8323
14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
9 Richland Medical Park Dr
Ste 500
Columbia, SC 29203
Phone (803) 344-4555
Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097
Interoperability endpoints
- bmartinez381897@direct.ghs.myhfn.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1245698232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 FERNLEAF RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292063319",
"telephone_number": "803-556-7331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 RICHLAND MEDICAL PARK DR STE 500",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036870",
"telephone_number": "803-434-4555",
"fax_number": "803-434-4599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "BRANDI",
"credential": "APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19994",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP4153",
"state": "SC"
}
],
"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 Feb 4, 2022; 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.