Active NPI
Brady Thomas
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 20179
- Practice address
- 2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733 - Phone
- (843) 402-1436
- Fax
- (843) 402-1833
- NPI assigned
- Nov 13, 2015
- Last updated
- Jan 14, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 20179 | SC | Primary |
Addresses
Primary practice location
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Mailing address
PO Box 603484
Charlotte, NC 28260-3484
Phone (803) 765-1838
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-6358
Phone (843) 792-1414
Other practice location 2
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN2604 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436
7 Independence PT
Suite 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20179 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ad of South Carolina LLC | Current | Accepting new patients | |
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| North Charleston Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical University Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Trident Anesthesia Group, LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hosptial, Inc. | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Medical University Hospital Authority | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Coastal Anesthesia Associates, LLC | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients |
Locations (25 of 26)
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1 Poston Rd
Ste 110
Charleston, SC 29407
Phone (843) 876-1347
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1844 Wallace School Rd
Charleston, SC 29407
Phone (843) 556-2545
2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600
175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
423 Barony St
Moncks Corner, SC 29461
9263 Medical Plaza Dr
Ste E
North Charleston, SC 29406
Phone (843) 572-1228
9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
1235 Nexton Pkwy
Summerville, SC 29486
Phone (843) 459-8400
130 Edge St
Summerville, SC 29486
Phone (843) 628-5816
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1740502822
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1205518792
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1942252176
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1255305876
Nurse Anesthetist, Certified Registered
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Certified Registered Nurse Anesthetist
- Summerville, SC
- NPI 1255185971
Nurse Anesthetist, Certified Registered
-
dba Prisma Health Greenville Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
dba Prisma Health Senior Primary Care
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
dba Prisma Health Cancer Inst-Richland
- General Acute Care Hospital
- Columbia, SC
- NPI 1033889795
-
dba Prisma Health Pediatric Hematology/Oncology
- General Acute Care Hospital
- Columbia, SC
- NPI 1154197846
-
dba Prisma Health Richland Hosptial
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
dba Prisma Health Richland Lab Outreach
- General Acute Care Hospital
- Coulmbia, SC
- NPI 1154432458
-
dba Prisma Health Cancer Inst-Richland
- General Acute Care Hospital
- Columbia, SC
- NPI 1396524104
-
dba Prisma Health Outpatient Pediatric Pulmonology
- General Acute Care Hospital
- Columbia, SC
- NPI 1508554452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1295109270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603484",
"telephone_number": "803-765-1838",
"fax_number": "803-765-1732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 HENRY TECKLENBURG DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145733",
"telephone_number": "843-402-1436",
"fax_number": "843-402-1833"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294256358",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "BRADY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-13",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "20179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN2604",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.