Individual provider Active NPI

Brandy Bryant Herndon, FNP

  • Primary Care Nurse Practitioner
  • Florence, SC
National Provider Identifier
1538240296
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F1537 Issued in SC
Practice address
214 W. Pine St.
Florence, SC 29501-4725
Phone
(843) 661-0500
Fax
(843) 661-7370
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F1537 SC Primary

Addresses

Primary practice location

214 W. Pine St.
Florence, SC 29501-4725

Mailing address

PO Box 2109
Florence, SC 29503-2109
Phone (843) 661-0500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223001141 SC Practitioner - Nurse Practitioner 9830085380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1537SCMDRegistered Dietitian
F1537SCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Healthcare LLC Primary Care CurrentSince Sep 14, 2015 Accepting new patients
Harry S Allen III, M.D.,PC Past Accepting new patients
Florence Urological Associates, PA PastSince Sep 14, 2015 Accepting new patients

Locations

214 W Pine St
Florence, SC 29501
Phone (843) 661-0500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1538240296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2109",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295032109",
            "telephone_number": "843-661-0500",
            "fax_number": "843-661-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W. PINE ST.",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014725",
            "telephone_number": "843-661-0500",
            "fax_number": "843-661-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "BRANDY",
        "middle_name": "BRYANT",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "F1537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.