Individual provider Active NPI

Brittany Michele Stofko, DO

  • Obstetrics & Gynecology Physician
  • Summerville, SC
National Provider Identifier
1659576767
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO2784 Issued in TN
Practice address
295A Midland Pkwy Ste 140
Summerville, SC 29485-5901
Phone
(843) 851-3800
Fax
(843) 851-7787
NPI assigned
Jun 19, 2007
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 52094 SC
Obstetrics & Gynecology Physician 207V00000X OS015623 PA
Obstetrics & Gynecology Physician 207V00000X DO2784 TN Primary

Addresses

Primary practice location

295A Midland Pkwy Ste 140
Summerville, SC 29485-5901

Mailing address

295A Midland Pkwy Ste 140
Summerville, SC 29485-5901
Phone (438) 518-3800

Other identifiers 1

IdentifierTypeStateIssuer
Q015544MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BRITTANY.STOFKO@hca5.eclinicaldirectplus.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181120001658 SC Practitioner - Obstetrics/Gynecology 6800064080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

295 A Midland Pkwy
Suite 220
Summerville, SC 29485-5901
Phone (843) 851-3800

295 Midland Pkwy
Summerville, SC 29485-8104
Phone (843) 832-5000

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 291-7182

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
73.04
Promoting interoperability
99
Improvement activities
40
Cost
76.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS015623PAMDObstetrics & Gynecology Physician
52094SCMDObstetrics & Gynecology Physician
DO2784TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Multispecialty Associates, LLC Obstetrics & Gynecology CurrentSince Jul 24, 2023 Accepting new patients
Trident Medical Center, LLC Past Accepting new patients

Locations

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

295A Midland Pkwy
Ste 140
Summerville, SC 29485
Phone (843) 695-2727

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: brittany.stofko@hca5.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1659576767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 140",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855901",
            "telephone_number": "438-518-3800",
            "fax_number": "843-851-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295A MIDLAND PKWY STE 140",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855901",
            "telephone_number": "843-851-3800",
            "fax_number": "843-851-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFKO",
        "first_name": "BRITTANY",
        "middle_name": "MICHELE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "52094",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS015623",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "DO2784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q015544",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRITTANY.STOFKO@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "295A Midland Pkwy Ste 140",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294855901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.