Breelyn Nicole Miles, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

721 Issued in SC

Practice address

4340 Ladson Rd Ste C
Ladson, SC 29456-6444

Phone

(843) 851-9069

Fax

(843) 871-8248

NPI assigned

Jul 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Carolina Podiatry IncGroup PAC ID 7214932201, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trident Medical Center Hospital, Charleston, SC, CCN 420079

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Carolina Podiatry Inc

  • Foot & Ankle Surgery Podiatrist
  • Ladson, SC
  • NPI 1154331544
  Medicare reassignment Care Compare group NPD
• Foot Clinic of South Carolina, LLC

  • Foot Surgery Podiatrist
  • Mauldin, SC
  • NPI 1861538969
  Medicare reassignment NPD
• Foot Clinic of South Carolina, LLC

  • Foot & Ankle Surgery Podiatrist
  • Clinton, SC
  • NPI 1255756797
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trident Medical Center, LLC

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1639664766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 LADSON RD STE C",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566444",
            "telephone_number": "843-851-9069",
            "fax_number": "843-871-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 LADSON RD STE C",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566444",
            "telephone_number": "843-851-9069",
            "fax_number": "843-871-8248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Rosebank Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084321",
            "country_code": "US",
            "telephone_number": "843-344-3035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "164 Summit Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029062894",
            "country_code": "US",
            "telephone_number": "401-793-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Chalkstone Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084728",
            "country_code": "US",
            "telephone_number": "401-456-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "BREELYN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-01",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "LPR00194",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "RI",
            "license": "LPR00194",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brancie Danielle Meadows
• Justin Blake Medford, DC
• Megan Danielle Merritt, OTD, OTR/L
• Christianna Messinger
• Carissa D Michel, FNP-C
• Milestones in Motion LLC
• Austin Miller, OTR/L
• Kia Denae Monts, PT, DPT
• Lydia Jeanette Moon, MA, CCC-SLP
• Jennifer Moore

• Podiatrist in Ladson, SC
• Providers in Ladson, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.