Brianna Blanton Duggar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

102 Harth PL
Summerville, SC 29485-8107

Phone

(843) 875-7901

Fax

(843) 832-2038

NPI assigned

Aug 9, 2019

Sex

Female

Sole proprietor

No

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trident Medical Center Hospital, Charleston, SC, CCN 420079

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bduggar@libertydoctors.ssdirect.aprima.com

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.

• Liberty Doctors LLC

  dba Mackey Family Practice

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1700162203
  Medicare reassignment Care Compare group NPD
• Liberty Doctors, LLC

  dba Mobile Medical Consultants

  • Family Medicine Physician
  • North Charleston, SC
  • NPI 1376854406
  NPD
• Liberty Doctors LLC

  dba Hope Clinic LLC

  • Internal Medicine Physician
  • Moncks Corner, SC
  • NPI 1144299470
  NPD (past)

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

• Trident Medical Center, LLC

  dba HCA Healthcare Trident Hospital

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1306491907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLANTON LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HARTH PL",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858107",
            "telephone_number": "843-875-7901",
            "fax_number": "843-832-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAR",
        "first_name": "BRIANNA",
        "middle_name": "BLANTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Maria Dubczak, RPH
• Kim Teresa Dubose
• Michael Dudleck, DMD
• Kimberly Laine Duffey
• Brandon Craig Duffie, DPT, ATC
• Abagail Sue Dulik-Shew, DO
• Aja Duncan, LPC
• Rachel Duncan, CCC-SLP
• Crystal Cassandra Duncombe, M.D.
• William Justin Dungan, OD

• Physician Assistant in Summerville, SC
• Providers in Summerville, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.
• 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.