Brian K Wyles, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN997 Issued in SC

Practice address

501 Robertson Blvd
Colleton Medical Center
Walterboro, SC 29488

Phone

(843) 782-2767

Fax

(843) 549-6867

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Avenir Ventures, L.L.C.

  dba Amedisys Palliative Care

  • Nurse Practitioner
  • Beaufort, SC
  • NPI 1518223312
  NPD (past)
• Coastal Carolina Primary Care, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Myrtle Beach, SC
  • NPI 1821257676
  NPD (past)
• Coastal Inpatient Physicians, LLC

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1215043872
  NPD (past)
• Colleton Medical Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Walterboro, SC
  • NPI 1659316958
  NPD (past)
• Colleton Medical Hospitalists LLC

  • Hospitalist Physician
  • Walterboro, SC
  • NPI 1942245246

  Family

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1467404335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK DR",
            "address_2": "SUITE 210",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294885747",
            "telephone_number": "843-782-2767",
            "fax_number": "843-549-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 ROBERTSON BLVD",
            "address_2": "COLLETON MEDICAL CENTER",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "29488",
            "telephone_number": "843-782-2767",
            "fax_number": "843-549-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLES",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APRN997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0268",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Women's Health Specialist LLC
• Zachary Alan Woodrum, DC
• Leroy James Woods IV
• Denise Nicole Wright-Johnson
• Tina Shider Wright, PHARMD
• Dan Russell Yarbrough, DMD
• Rita Manigo Yates
• Everett-Jackson Thorne Young, PHARM.D.
• Serena Marie Zea, PT, CWS
• Amy Zelko, D.D.S.

• Family Nurse Practitioner in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.