NPIMap

Individual provider Active NPI

Brandon Robert Kryak, PA-C

  • Medical Physician Assistant
  • Greenville, SC
National Provider Identifier
1316475619
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4916 Issued in SC
Practice address
200 Andrews St Ste 100
Greenville, SC 29601-3974
Phone
(864) 295-2131
NPI assigned
May 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X 8405 GA
Medical Physician Assistant 363AM0700X 4916 SC Primary

Addresses

Primary practice location

200 Andrews St Ste 100
Greenville, SC 29601-3974

Mailing address

1924 Piedmont Rd NE
Atlanta, GA 30324-4117
Phone (404) 881-0966

Other practice location 1

1924 Piedmont Rd NE
Atlanta, GA 30324-4117
Phone (404) 881-0966

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
I20230906003466 SC Practitioner - Physician Assistant 8820428980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520

200 Andrews St
Suite 100
Greenville, SC 29601-3974
Phone (864) 295-2131

309 W Butler Rd
Mauldin, SC 29662-2531
Phone (864) 233-8063

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Aug 21, 2023 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Aug 21, 2023 Accepting new patients
Northside Surgical Professional Services LLC Past Accepting new patients
Emory Specialty Associates, LLC Past Accepting new patients

Locations

200 Andrews St
Ste 100
Greenville, SC 29601
Phone (864) 269-4508

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

309 W Butler Rd
Mauldin, SC 29662
Phone (864) 295-2131

Interoperability endpoints

  • Direct secure messaging: bkryak2365152@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1316475619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 PIEDMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244117",
            "telephone_number": "404-881-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ANDREWS ST STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013974",
            "telephone_number": "864-295-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Piedmont Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303244117",
            "country_code": "US",
            "telephone_number": "404-881-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRYAK",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8405",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "4916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.