The Bhang Group

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

THE BHANG GROUP

Practice address

1320 Main St Ste 300
Columbia, SC 29201-3266

Phone

(803) 724-1250

Fax

(803) 724-1200

NPI assigned

Oct 4, 2019

Last updated

Oct 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prunetta Brunson, NPNPI 1538662556

Title

Ceo

Phone

(803) 724-1250

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prunetta O Brunson, FNP

  • Family Nurse Practitioner
  • Roanoke, VA
  • NPI 1538662556
  NPD Authorized official

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1396386942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MAIN ST STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013266",
            "telephone_number": "803-724-1250",
            "fax_number": "803-724-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAIN ST STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013266",
            "telephone_number": "803-724-1250",
            "fax_number": "803-724-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Lenox Rd NE Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303264302",
            "country_code": "US",
            "telephone_number": "803-546-9973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE BHANG GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "PRUNETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-724-1250",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8820353071",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.thebhanggroup.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1320 Main St Ste 300",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292013266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.