Active NPI
Brian Bennett Chamblee, MD
- Anesthesiology Physician
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- T2136
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51353 | SC | MD | Anesthesiology Physician |
| T2136 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| St Alphonsus Professional Medical Services LLC | Anesthesiology | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Beach Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Gallatin Valley Anesthesia Associates PC | Anesthesiology | Past | 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
- bchamblee43340@direct.anmedhealth.net
- 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.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Trauma Surgery Physician
- Boise, ID
- NPI 1336166883
-
- Anesthesiology Physician
- Colorado Springs, CO
- NPI 1619927852
-
- Anesthesiology Physician
- Bozeman, MT
- NPI 1336165182
-
- Specialist
- Bozeman, MT
- NPI 1356390736
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.