Elizabeth Brockinton, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

19761 Issued in SC

Practice address

742 W Liberty St
Sumter, SC 29150-4746

Phone

(803) 773-5227

Fax

(803) 746-7445

NPI assigned

Oct 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.brockinton.1@13095.direct.athenahealth.com

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.

• Colonial Family Practice, LLC

  dba Colonial Family Practice

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1518074640
  Medicare reassignment NPD
• Tandem Health SC

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1386630192
  Medicare reassignment NPD
• Colonial Family Practice, LLC

  dba Colonial Family Practice Liberty Street Location

  • Family Medicine Physician
  • Sumter, SC
  • NPI 1225687338
  NPD
• Colonial Family Practice, LLC

  dba Santee Cooper Urgent Care

  • Family Medicine Physician
  • Manning, SC
  • NPI 1467999326

  Pediatrics

  NPD
• Tandem Health SC

  dba Tandem Health

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1740641919
  NPD
• Tandem Health SC

  • Federally Qualified Health Center (FQHC)
  • Sumter, SC
  • NPI 1821885583
  NPD
• Tandem Health SC

  dba Sumter Family Health Center - Pinewood

  • Federally Qualified Health Center (FQHC)
  • Pinewood, SC
  • NPI 1811973068
  NPD (past)

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1417328667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 HOLLY ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154930",
            "telephone_number": "803-536-2725",
            "fax_number": "803-534-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 W LIBERTY ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504746",
            "telephone_number": "803-773-5227",
            "fax_number": "803-746-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKINTON",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "19761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela T. Brimmer
• James Randall Britt Jr.
• Margaret Conant Britt, APRN-C
• John J Britton, MD
• Annie R. Brock, LMSW
• Christine Oliver Brogdon
• Frederick Earle Brogdon Jr., DMD
• Williba Brogdon
• Brookdale Senior Living Communities, Inc. (Brookdale Sumter)
• Brothers Transportation

• Pediatric Nurse Practitioner in Sumter, SC
• Providers in Sumter, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.