Active NPI
Brent Alan Armstrong, MD
- Emergency Medicine Physician
- Fairfax, SC
National Provider Identifier
1356432116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 22259
- Practice address
- 1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133 - Phone
- (803) 632-3311
- Fax
- (803) 632-9815
- NPI assigned
- Sep 27, 2006
- Last updated
- Sep 7, 2010
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 22259 | SC | Primary |
| Family Medicine Physician | 207Q00000X | 22259 | SC |
Addresses
Primary practice location
1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133
Mailing address
1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133
Phone (803) 632-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222592 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22269 | SC | MD | Family Nurse Practitioner |
| 22259 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Care, PA | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- barmstrong25206@directmcleodehealth.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283817600000",
"number": "1356432116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1787 ALLENDALE FAIRFAX HWY",
"city": "FAIRFAX",
"state": "SC",
"postal_code": "298279133",
"telephone_number": "803-632-3311",
"fax_number": "803-632-9815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1787 ALLENDALE FAIRFAX HWY",
"city": "FAIRFAX",
"state": "SC",
"postal_code": "298279133",
"telephone_number": "803-632-3311",
"fax_number": "803-632-9815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "BRENT",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2010-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "22259",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "22259",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222592",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, SC
- Allendale County Hospital Board (John Edward Harter Nursing Center)
- Allendale County Hospital Board (Allendale County Hospital Pharmacy)
- Allendale County Hospital Board (Allendale County Hospital)
- Allendale County Hospital Board (Carolina Medical Associates)
- Allendale County Schools
- Vanessa Badger
- Thomas Richard Bair, MD
- Cassandra Boles
- Portereshice Shunta Brabham
- Thomas Edward Byrne, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.