Michelle Brandy Bryant, APRN
Individual provider Active NPI Family Nurse Practitioner · Seneca, SC
NPI 1275959215 · NPPES record last updated Aug 12, 2014
Key facts
- NPI
- 1275959215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 18939 (SC)
- Practice address
- 609 N Townville St
Seneca, SC 29678-2642 - Phone
- (864) 882-2245
- NPI assigned
- Mar 14, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141229001588 | SC | Practitioner - Nurse Practitioner | 2961725833 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95746 | SC | MD | Registered Nurse |
| 18939 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of South Carolina | Past |
Accepting new patients | |
| State of South Carolina Comptroller General | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95746 | SC | |
| Family Nurse Practitioner | 363LF0000X | 18939 | SC | Yes |
Addresses
Primary practice location
609 N Townville St
Seneca, SC 29678-2642
Mailing address
709 Tall Oak TRL
Seneca, SC 29678-5049
Phone (864) 247-6672
Other providers in Seneca, SC
- Dana Lee Brown
- Kaylan H. Brown
- William Scott Brown
- Cynthia L Bruce
- Lorraine Ann Bruce
- Kimberley Cecile Buldini
- Lindsey D Burbank Jr.
- Kathy Burdette
- Shandra Burns-Lee
- Nicole Burnside
All providers in Seneca, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.