Ember Modern Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EMBER MODERN MEDICINE

Practice address

1068 N Church St Ste 101
Greenville, SC 29601-1769

Phone

(864) 702-2365

Fax

(864) 474-4109

NPI assigned

Jun 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Blank, MDNPI 1689069833

Title

Owner

Phone

(864) 702-2365

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Matthew Blank, M.D.

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1689069833

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1295465763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 N CHURCH ST STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011769",
            "telephone_number": "864-702-2365",
            "fax_number": "864-474-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 N CHURCH ST STE 101",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296011769",
            "telephone_number": "864-702-2365",
            "fax_number": "864-474-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBER MODERN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "BLANK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-702-2365",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Stewart Elmquist, NNP
• Sara Kathleen Sky Elrod
• Brooke E Elsea, BCBA
• Mohamed Mustafa Elsunni, M.D.
• Neveen Emara, DO
• Katelyn Jean Emberton, MSW, LISW-CP
• Embody Orthopedic & Sports Physical Therapy, LLC
• Lisa Kay Embry-Franklin
• Emergency Physician Services
• Emergencymd

• Family Medicine Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.