Carolina Family Urology

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

23790 Issued in SC

Legal business name

CAROLINA FAMILY UROLOGY

Practice address

109 Burton Ave Ste F
Summerville, SC 29485-8117

Phone

(843) 871-5220

Fax

(843) 871-5547

NPI assigned

Mar 10, 2010

Organization subpart

No

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

Authorized official

Name

David W Brandli, MD

Title

Owner

Phone

(843) 871-5220

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1497078067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BURTON AVE STE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858117",
            "telephone_number": "843-871-5220",
            "fax_number": "843-871-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BURTON AVE STE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858117",
            "telephone_number": "843-871-5220",
            "fax_number": "843-871-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FAMILY UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "BRANDLI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-871-5220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "SC",
            "license": "23790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356330260",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T80310",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLYING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Behavioral Counseling
• Carolina Eyecare Physicians, LLC
• Carolina Family Care, Inc
• Carolina Family Care, Inc
• Carolina Family Care, Inc
• Carolina Grace Counseling
• Carolina Milestones LLC
• Carolina Spine and Sport Rehabiliatation Specialist,P.a.
• Carolina Teen Center
• Carolina Womens Care PA

• Urology Physician in Summerville, SC
• Providers in Summerville, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.