Organization Active NPI

Tribe513, P.a.

Doing business as Brio Internal Medicine

  • Internal Medicine Physician
  • Greenville, SC
National Provider Identifier
1649721119
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRIBE513, P.A.
Doing business as
Brio Internal Medicine
Practice address
9 Hawthorne Park CT
Greenville, SC 29615-3194
Phone
(864) 603-5600
Fax
(864) 603-5601
NPI assigned
Oct 20, 2016
Last updated
Oct 20, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIBE513, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Mrs. Melissa Kay Oostdyk
Title
Coordinator, Provider Relations
Phone
(864) 603-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

9 Hawthorne Park CT
Greenville, SC 29615-3194

Mailing address

9 Hawthorne Park CT
Greenville, SC 29615-3194
Phone (864) 603-5600

Other names 1

  • Brio Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tribe513 PA4 organizations share this tax ID, including this one
Part of
Tribe513 PA

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1649721119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HAWTHORNE PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153194",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HAWTHORNE PARK CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153194",
            "telephone_number": "864-603-5600",
            "fax_number": "864-603-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBE513, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIBE513, P.A.",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "OOSTDYK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "COORDINATOR, PROVIDER RELATIONS",
        "authorized_official_telephone_number": "864-603-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brio Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.