Bryan A. Burnett, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

21040 Issued in SC

Practice address

10706 Marlboro Ave
Barnwell, SC 29812-6376

Phone

(803) 259-7337

Fax

(803) 259-9505

NPI assigned

Feb 13, 2007

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Pediatric Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Low Country Health Care System IncGroup PAC ID 4284530940, shared by 10 NPIs, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Low Country Health Care System, Inc

  dba Low Country Health Care System

  • Federally Qualified Health Center (FQHC)
  • Farifax, SC
  • NPI 1053475566
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  dba Bamberg Specialty Services

  • Federally Qualified Health Center (FQHC)
  • Bamberg, SC
  • NPI 1306378310
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  dba Barnwell Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1578659942
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  dba Barnwell Family Specialty Services

  • Federally Qualified Health Center (FQHC)
  • Barnwell, SC
  • NPI 1780112912
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  dba Padgett Family Practice

  • Federally Qualified Health Center (FQHC)
  • Bamberg, SC
  • NPI 1821518556
  Medicare reassignment NPD
• Low Country Health Care System, Inc.

  dba Family Medical Center of Blackville

  • Federally Qualified Health Center (FQHC)
  • Blackville, SC
  • NPI 1235225608
  Medicare reassignment NPD
• Low Country Health Care System, Inc

  dba Williston Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Williston, SC
  • NPI 1922468826
  NPD
• Low Country Health Care System, Inc.

  dba Aiken Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Aiken, SC
  • NPI 1194288571
  NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1376685453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 MARLBORO AVE",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298126376",
            "telephone_number": "803-259-7337",
            "fax_number": "803-259-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "BRYAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "21040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "21040",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T51958",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Micheal Brown Jr.
• Bryan and Sang Medical Associates, Inc (Gasnel E. Bryan, MD)
• Amanda Beck Bucao
• Lenora Buckmon
• Burke Hospital Company (Southeastern Spine and Pain)
• Kristin Campbell
• Lee Carpenter
• Christopher Shane Carroll, NP-C
• Marsha Wren Carroll, APRN
• Kayla Francena Carter, CCC-SLP

• Pediatrics Physician in Barnwell, SC
• Providers in Barnwell, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.