Organization Active NPI

Bright Alliance Rehabilitation Medicine

  • Physical Medicine & Rehabilitation Physician
  • North Charleston, SC
National Provider Identifier
1497310643
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BRIGHT ALLIANCE REHABILITATION MEDICINE
Practice address
9181 Medcom St
North Charleston, SC 29406-9168
Phone
(843) 820-7777
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Elise Salerno, MD
Title
Owner
Phone
(843) 820-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

9181 Medcom St
North Charleston, SC 29406-9168

Mailing address

6650 Rivers Ave Ste 105
North Charleston, SC 29406-4829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1497310643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 RIVERS AVE STE 105",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9181 MEDCOM ST",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069168",
            "telephone_number": "843-820-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT ALLIANCE REHABILITATION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "SALERNO",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-820-7777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.