NPIMap

Individual provider Active NPI

Herbie Seymour Bryan, MD

  • Pulmonary Disease Physician
  • Conway, SC
National Provider Identifier
1427039726
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
32149 Issued in SC
Practice address
2701 Church St
Ste D
Conway, SC 29526-4422
Phone
(843) 234-6888
Fax
(843) 234-6889
NPI assigned
Nov 14, 2005
Last updated
Nov 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 200101019 NC
Pulmonary Disease Physician 207RP1001X 32149 SC Primary

Addresses

Primary practice location

2701 Church St
Ste D
Conway, SC 29526-4422

Mailing address

300 Singleton Ridge Rd
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

2376 Cypress Cir
Ste 100
Conway, SC 29526-8964
Phone (843) 234-6888

Other practice location 2

6010 Highway 707
Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 234-6888

Other identifiers 4

IdentifierTypeStateIssuer
132NOOtherNCBCBS
321495MedicaidSC
1427039726MedicaidNC
89132NOMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110202000474 SC Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4284684192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

2376 Cypress Cir
Suite 100
Conway, SC 29526-8964
Phone (843) 234-6888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200101019NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. Current Accepting new patients
Conway Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Conway Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
McLeod Physician Associates II CurrentSince Mar 1, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Mar 1, 2021 Accepting new patients
TJH Medical Services, P.C. Past Accepting new patients
Conway Hospital, Inc. Past Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Past Accepting new patients
Primedoc of Stanly County PA Past Accepting new patients

Locations

2376 Cypress Cir
Ste 100
Conway, SC 29526
Phone (843) 234-6888

2701 Church St
Ste D
Conway, SC 29526
Phone (843) 234-6888

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

808 Farrar Dr
Conway, SC 29526
Phone (843) 234-8700

401 E Cheves St
Ste 202
Florence, SC 29506
Phone (843) 777-7166

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Organizations & group practices 9

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1427039726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CHURCH ST",
            "address_2": "STE D",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264422",
            "telephone_number": "843-234-6888",
            "fax_number": "843-234-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2376 Cypress Cir",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "295268964",
            "country_code": "US",
            "telephone_number": "843-234-6888",
            "fax_number": "843-234-6889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6010 Highway 707",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295887321",
            "country_code": "US",
            "telephone_number": "843-234-6888",
            "fax_number": "843-234-6889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "HERBIE",
        "middle_name": "SEYMOUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "200101019",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "32149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "132NO",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321495",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427039726",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132NO",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.