Individual provider Active NPI

Brian Bennett Chamblee, MD

  • Anesthesiology Physician
  • Seneca, SC
National Provider Identifier
1316963150
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
T2136 Issued in TX
Practice address
102B Omni Dr
Seneca, SC 29672-9448
Phone
(864) 885-7971
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 51353 SC
Anesthesiology Physician 207L00000X T2136 TX Primary

Addresses

Primary practice location

102B Omni Dr
Seneca, SC 29672-9448

Mailing address

P O B 840853 Suite 212
Dallas, TX 75284-4536
Phone (972) 233-1999

Other practice location 1

6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Phone (972) 715-5000

Other practice location 2

102B Omni Dr
Seneca, SC 29672-9448
Phone (864) 885-7971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170901001549 SC Practitioner - Anesthesiology 2264346386 Reassigns benefits to 2 organizations
I20250304000953 ID Practitioner - Anesthesiology 2264346386 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51353SCMDAnesthesiology Physician
T2136TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Alphonsus Professional Medical Services LLC CurrentSince Feb 3, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Aug 21, 2017 Accepting new patients
St Alphonsus Professional Medical Services LLC Anesthesiology CurrentSince Feb 3, 2025 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Beach Anesthesia, LLC Anesthesiology CurrentSince Aug 8, 2024 Accepting new patients
Gallatin Valley Anesthesia Associates PC Anesthesiology PastSince Mar 1, 2007 Accepting new patients
Intercity Radiology, PC Past Accepting new patients
Anesthesia Associates of Colorado Springs, P.C. Anesthesiology Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

102B Omni Dr
Seneca, SC 29672
Phone (864) 885-7971

Interoperability endpoints

  • Direct secure messaging: bchamblee43340@direct.anmedhealth.net
  • Direct secure messaging: bchamblee3439727@direct.trinity-health.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1316963150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O B 840853 SUITE 212",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844536",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102B OMNI DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729448",
            "telephone_number": "864-885-7971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6606 Lbj Fwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752406524",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102B Omni Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296729448",
            "country_code": "US",
            "telephone_number": "864-885-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBLEE",
        "first_name": "BRIAN",
        "middle_name": "BENNETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "51353",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "T2136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.