Individual provider Active NPI

Brian Philip Anderson, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Spartanburg, SC
National Provider Identifier
1689231201
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
91340 Issued in SC
Practice address
1095 Iron Ore Rd
Spartanburg, SC 29303-2239
Phone
(864) 582-2900
Fax
(864) 582-2900
NPI assigned
May 20, 2019
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X 91340 SC Primary

Addresses

Primary practice location

1095 Iron Ore Rd
Spartanburg, SC 29303-2239

Mailing address

PO Box 5787
Spartanburg, SC 29304-5787

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
I20240906003871 SC Practitioner - Otolaryngology 7618202656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1095 Iron Ore Rd
Spartanburg, SC 29303-2239
Phone (864) 582-2900

2755 S Hwy 14
Suite 2400
Greer, SC 29650-4940
Phone (864) 582-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91340SCMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Ear Nose & Throat, Gaffney Office CurrentSince Aug 1, 2024 Accepting new patients
Spartanburg Ear Nose & Throat, Head & Neck Surgery PA CurrentSince Aug 1, 2024 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Past Accepting new patients

Locations

2755 S Highway 14
Ste 2400
Greer, SC 29650
Phone (864) 582-2900

Interoperability endpoints

  • Direct secure messaging: brian.anderson.p1@direct.sent.nextgenshare.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 6

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1689231201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5787",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 IRON ORE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032239",
            "telephone_number": "864-582-2900",
            "fax_number": "864-582-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRIAN",
        "middle_name": "PHILIP",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-07-08",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "SC",
            "license": "91340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.