Brenna B. Delaine, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15886 Issued in SC

Practice address

1136 Kincaide Bridge Rd
Ste a
Winnsboro, SC 29180

Phone

(803) 635-1052

Fax

(803) 635-2297

NPI assigned

Sep 20, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255438610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 WILD CHERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236730",
            "telephone_number": "803-865-6678",
            "fax_number": "803-798-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 KINCAIDE BRIDGE RD",
            "address_2": "STE A",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "29180",
            "telephone_number": "803-635-1052",
            "fax_number": "803-635-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAINE",
        "first_name": "BRENNA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "15886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Cornerstone
• Amanda Cooper, NP
• Donald Crawford
• Davis and Davis Health Center
• Kathleen M Dean, LISW-CP
• Maria Shields Dickerson, O.D.
• Margarite H. Dunn, LAC,LMSW, AADC, CS
• Dva Healthcare Renal Care Inc
• Jamie Easterling, FNP-C
• Eau Claire Cooperative Health Center, Inc

• Internal Medicine Physician in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.