Active NPI
Keith Brandon Haseley, PA-C
- Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5566
- Practice address
- 319 Folly Rd
Charleston, SC 29412-2518 - Phone
- (843) 203-2246
- Fax
- (843) 203-2247
- NPI assigned
- Feb 15, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 020599 | NY | |
| Physician Assistant | 363A00000X | 5566 | SC | Primary |
Addresses
Primary practice location
319 Folly Rd
Charleston, SC 29412-2518
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800
319 Folly Rd
Charleston, SC 29412-2518
Phone (843) 723-8823
3885 W Ashley Cir
Suite F600
Charleston, SC 29414-9273
Phone (843) 853-3474
Hospital & facility affiliations
- Roper Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5566 | SC | MD | Physical Therapist |
| 020599 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Western New York Immediate Medical Care LLC | Current | Accepting new patients | |
| Advanced Care Physical Therapy Aquatics and Fitness PC | Past | Accepting new patients |
Locations
2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
7616 Transit Rd
Williamsville, NY 14221
Phone (716) 204-2273
319 Folly Rd
Charleston, SC 29412
Phone (843) 203-2246
8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
Interoperability endpoints
- khaseley2953174@direct.bsmhealth.org
Organizations & group practices 10
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.
-
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
- Urgent Care Clinic/Center
- Williamsville, NY
- NPI 1699416057
-
- Family Medicine Physician
- Mineola, NY
- NPI 1770813792
-
- Urgent Care Clinic/Center
- Mineola, NY
- NPI 1336426667
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
-
- Family Medicine Physician
- Pawleys Island, SC
- NPI 1235579707
-
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Emergency Medicine Physician
- Orchard Park, NY
- NPI 1427224625
-
- Physical Therapist
- Niagara Falls, NY
- NPI 1891883385
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1386183994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 FOLLY RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294122518",
"telephone_number": "843-203-2246",
"fax_number": "843-203-2247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASELEY",
"first_name": "KEITH",
"middle_name": "BRANDON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-15",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "020599",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.