NPIMap

Individual provider Active NPI

David William Brandli, MD

  • Urology Physician
  • Summerville, SC
National Provider Identifier
1356330260
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
23790 Issued in SC
Practice address
295 A Midland Parkway
Ste 100
Summerville, SC 29485-9171
Phone
(843) 871-5220
Fax
(843) 871-5547
NPI assigned
Oct 14, 2005
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 23790 SC Primary

Addresses

Primary practice location

295 A Midland Parkway
Ste 100
Summerville, SC 29485-9171

Mailing address

2687 Lake Park Dr
North Charleston, SC 29406
UM
Phone (843) 572-1010

Other identifiers 2

IdentifierTypeStateIssuer
GP4871MedicaidSC
P00036601OtherSCRR MEDICARE

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
I20090724000072 SC Practitioner - Urology 6507935376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Pennsylvania State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lowcountry Urology Clinics, PAGroup PAC ID 6406869247, 14 clinicians

Practice addresses (Care Compare)

1470 Tobias Gadson Blvd
Charleston, SC 29407-4707
Phone (843) 556-7060

2687 Lake Park Dr
North Charleston, SC 29406-9100
Phone (843) 572-1010

295 A Midland Pkwy
Suite 100
Summerville, SC 29485-5901
Phone (843) 871-5220

641 Saint Andrews Blvd
Charleston, SC 29407-7165
Phone (843) 766-4070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Urology Clinics, PA Urology CurrentSince Jan 1, 2012 Accepting new patients
Lowcountry Urology Clinics PA Urology CurrentSince Jan 1, 2012 Accepting new patients
Lowcountry Urology Clinics, PA Urology PastSince Dec 17, 2023 Accepting new patients
Lowcountry Urology Clinics, PA Past Accepting new patients

Locations

641 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 577-6015

2687 Lake Park Dr
North Charleston, SC 29406
Phone (843) 572-0097

109 Burton Ave
Ste F
Summerville, SC 29485
Phone (843) 851-7643

295A Midland Pkwy
Ste 100
Summerville, SC 29485
Phone (843) 871-5220

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.427

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 5

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1356330260",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "2687 LAKE PARK DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-572-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 A MIDLAND PARKWAY",
            "address_2": "STE 100",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859171",
            "telephone_number": "843-871-5220",
            "fax_number": "843-871-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDLI",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "23790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4871",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00036601",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.