Active NPI
Bryan Andrew Game, D.M.D., M.B.A.
- General Practice Dentistry
- Johns Island, SC
National Provider Identifier
1477831691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8100
- Practice address
- 3750 Savannah Hwy
Ste. B
Johns Island, SC 29455-7909 - Phone
- (843) 203-5429
- NPI assigned
- Jul 22, 2011
- Last updated
- Nov 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8100 | SC | Primary |
Addresses
Primary practice location
3750 Savannah Hwy
Ste. B
Johns Island, SC 29455-7909
Mailing address
3750 Savannah Hwy
Ste. B
Johns Island, SC 29455-7909
Phone (843) 203-5429
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625002402 | SC | Order and Referring Only - Oral Surgery | 5890006258 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8100 | SC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stono Dental Care, PA | Dentist | Past | Accepting new patients |
| B. Andrew Game, DMD, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Johns Island, SC
- NPI 1255875951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1477831691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 SAVANNAH HWY",
"address_2": "STE. B",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294557909",
"telephone_number": "843-203-5429",
"fax_number": "843-203-9036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 SAVANNAH HWY",
"address_2": "STE. B",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294557909",
"telephone_number": "843-203-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAME",
"first_name": "BRYAN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.M.D., M.B.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-22",
"last_updated": "2020-11-05",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "8100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johns Island, SC
- Franklin C. Fetter Family Health Center, Inc (Rural Mission Migrant Site-Johns Island)
- Ladawn Frasier, LMT, DOULA, CHHP
- Jacquelyn Paige French, APRN, BC,RN,CS,NP
- Kecia Gaddist, CNA
- Robert Beasley Gamble III, D.M.D
- Jeffrey Clark Gersbach, M.D.
- Jamie Kara Giangreco, RN
- Gloria H Gibbs
- Jennifer Gillardon-Tarini, ATC
- Lorena Gonzalez-Marrero, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.