Individual provider Active NPI

Stephen Paul Brackbill, MD

  • Gastroenterology Physician
  • Greenville, SC
National Provider Identifier
1437190428
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
28623 Issued in SC
Practice address
125 Halton Rd Ste 200
Greenville, SC 29607-3507
Phone
(864) 232-7338
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 28623 SC Primary

Addresses

Primary practice location

125 Halton Rd Ste 200
Greenville, SC 29607-3507

Mailing address

PO Box 8676
Greenville, SC 29604-8676
Phone (864) 232-7338

Other identifiers 1

IdentifierTypeStateIssuer
286238MedicaidSC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060717000261 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 3476566415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates, PAGroup PAC ID 1951215433, 57 clinicians

Practice addresses (Care Compare)

112 A Hospital Dr
Simpsonville, SC 29681-3226
Phone (864) 232-7338

125 Halton Rd
Suite 200
Greenville, SC 29607-3507
Phone (864) 232-7338

225 E Blackstock Rd
Spartanburg, SC 29301-2633
Phone (864) 232-7338

3424 Augusta Rd
Suite 200
Greenville, SC 29605-2150
Phone (864) 232-7338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy138
Upper gastrointestinal (GI) endoscopy for acid reflux337

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Endoscopy Center Inc CurrentSince Oct 2, 2022 Accepting new patients
Gastroenterology Associates, PA Gastroenterology CurrentSince Jul 1, 2006 Accepting new patients
Gastroenterology Associates, PA Gastroenterology CurrentSince Jul 1, 2006 Accepting new patients
Prisma Health University Medical Group CurrentSince Jun 1, 2004 Accepting new patients
Greenville Health System CurrentSince Oct 17, 2010 Accepting new patients
Greenville Endoscopy Center Inc Current Accepting new patients
Gastroenterology Associates, PA Gastroenterology Past Accepting new patients
New Horizon Family Health Services Inc Past Accepting new patients

Locations

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

877 W Faris Rd
Ste C
Greenville, SC 29605
Phone (864) 455-8147

3424 Augusta Rd
Ste 200
Greenville, SC 29605

200 Patewood Dr
Ste B200
Greenville, SC 29615
Phone (864) 454-2226

125 Halton Rd
Ste 200
Greenville, SC 29607

207 Three Bridges Rd
Greenville, SC 29611
Phone (864) 220-1110

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

125 Halton Rd
Ste 100
Greenville, SC 29607

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000

112A Hospital Dr
Simpsonville, SC 29681

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647

112B Hospital Dr
Simpsonville, SC 29681
Phone (864) 454-6850

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Organizations & group practices 8

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.

Hospital & facility affiliations 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1437190428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8676",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296048676",
            "telephone_number": "864-232-7338",
            "fax_number": "864-239-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HALTON RD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-232-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKBILL",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "28623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286238",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.