Brian Close, MD

Individual provider Active NPI Hospitalist Physician · Savannah, GA

NPI 1639697246 · NPPES record last updated Jul 6, 2021

Key facts

NPI
1639697246
Entity type
Individual (NPI type 1)
Primary specialty
Hospitalist Physician 208M00000X
License
88694 (GA)
Practice address
5354 Reynolds St Ste 424
Savannah, GA 31405-6011
Phone
(912) 819-7010
NPI assigned
Sep 3, 2017
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Mercer University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chatham Hosptialists, LLC (33 clinicians)

Practice addresses (Care Compare)

5354 Reynolds St
Suite 424
Savannah, GA 31405-6011
Phone (912) 819-5999

Hospital & facility affiliations

  • Candler Hospital Hospital · Savannah, GA · CCN 110024
  • St Joseph'S Hospital - Savannah Hospital · Savannah, GA · CCN 110043

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210715001711 GA Practitioner - Internal Medicine 9335498492 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88694GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Hosptialists, LLC Current
since Aug 1, 2021
Accepting new patients
Candler Hospital Incorporated Past Accepting new patients

Locations

5354 Reynolds St
Ste 424
Savannah, GA 31405
Phone (912) 819-5999

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 88694 GA Yes

Addresses

Primary practice location

5354 Reynolds St Ste 424
Savannah, GA 31405-6011

Mailing address

5354 Reynolds St Ste 424
Savannah, GA 31405-6011

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 6, 2021.

{
    "created_epoch": "1504396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1639697246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 424",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 424",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056011",
            "telephone_number": "912-819-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSE",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-03",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "88694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

All providers in Savannah, GA · Hospitalist Physician in Georgia

Sources for this page

Verify at the official NPI Registry.