Brian Russell Cherry, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4307 Issued in SC

Practice address

101 Halton Rd Ste a
Greenville, SC 29607-3507

Phone

(864) 603-2464

Fax

(864) 603-2461

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Brian R Cherry LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Greenville, SC
  • NPI 1841695855
  NPD Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1285838078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HALTON RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-603-2464",
            "fax_number": "864-603-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HALTON RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-603-2464",
            "fax_number": "864-603-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "BRIAN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "4307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Linn Chemell, PA-C
• Morris Anthony Chemell
• Jeffrey Cheng, C-AA
• Jessica Michelle Chepa, APRN
• Cherry Orchard Pediatric Dentistry, LLC
• Earl Roger Cherry Jr., DMD
• J Suzanne Cherry, PT
• Lisa Marie Cherry, DDS
• Cherrydale Chiropractic
• Cherrydale Dental Associates, LLC

• Oral and Maxillofacial Surgery (Dentist) in Greenville, SC
• Providers in Greenville, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.