NPIMap

Individual provider Active NPI

Brendan Griesmer, MD

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1295767317
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81757 Issued in SC
Practice address
101 McLeod Health Blvd Ste 201
Myrtle Beach, SC 29579
Phone
(843) 646-8001
Fax
(843) 646-8002
NPI assigned
Jul 7, 2006
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301081755 OH
Internal Medicine Physician 207R00000X 81757 SC Primary

Addresses

Primary practice location

101 McLeod Health Blvd Ste 201
Myrtle Beach, SC 29579

Mailing address

101 McLeod Health Blvd Ste 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

Other practice location 1

18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Phone (440) 816-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brendan.griesmer@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401001738 SC Practitioner - Internal Medicine 3072510684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

101 McLeod Health Blvd
Suite 201
Myrtle Beach, SC 29579-4477
Phone (843) 646-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301081755OHMDInternal Medicine Physician
81757SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Mar 1, 2019 Accepting new patients
McLeod Physician Associates II Internal Medicine Current Accepting new patients
McLeod Physician Associates II CurrentSince Mar 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

506 E Cheves St
#202
Florence, SC 29506

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

101 McLeod Health Blvd
Ste 201
Myrtle Beach, SC 29579
Phone (843) 646-8001

Interoperability endpoints

  • Direct secure messaging: bgriesmer19332@directmcleodehealth.org
  • Direct secure messaging: brendan.griesmer@mpaii.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1295767317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MCLEOD HEALTH BLVD STE 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794477",
            "telephone_number": "843-646-8001",
            "fax_number": "843-646-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MCLEOD HEALTH BLVD STE 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29579",
            "telephone_number": "843-646-8001",
            "fax_number": "843-646-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18697 Bagley Rd",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441303417",
            "country_code": "US",
            "telephone_number": "440-816-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIESMER",
        "first_name": "BRENDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "4301081755",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "81757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brendan.griesmer@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "101 McLeod Health Blvd Ste 201",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.