Active NPI
Bryan Kendall Thomas, M.D.
- Surgery Physician
- Moncks Corner, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 32004
- Practice address
- 3508 S Live Oak Dr
Moncks Corner, SC 29461-8774 - Phone
- (843) 958-2590
- Fax
- (843) 606-7996
- NPI assigned
- Jun 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 32004 | SC | Primary |
Addresses
Primary practice location
3508 S Live Oak Dr
Moncks Corner, SC 29461-8774
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other practice location 1
2093 Henry Tecklenburg Dr Ste 202E
Charleston, SC 29414-5783
Phone (843) 958-2520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320049 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical University of South Carolina College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2093 Henry Tecklenburg Dr
Charleston, SC 29414-5783
Phone (843) 720-5665
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32004 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Saint Francis Physicians Network | Surgery | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Surgery | Current | Accepting new patients |
| Roper St. Francis Specialty Physicians | Surgery | Current | Accepting new patients |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital Inc. | Past | Accepting new patients | |
| Roper Saint Francis Physicians Network | Past | Accepting new patients |
Locations
2093 Henry Tecklenburg Dr
Ste 202E
Charleston, SC 29414
Phone (843) 720-5665
1 S Park Cir
Ste 400
Charleston, SC 29407
Phone (843) 789-1651
2093 Henry Tecklenburg Dr
#202E
Charleston, SC 29414
Phone (843) 720-5665
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
3508 S Live Oak Dr
Moncks Corner, SC 29461
Phone (843) 534-1770
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
4975 Lacross Rd
Ste 110
North Charleston, SC 29406
Phone (843) 723-2835
Interoperability endpoints
- bthomas1236132@direct.bsmhealth.org
Organizations & group practices 6
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.
-
dba Roper St. Francis Physician Partners General Surgery
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
dba Roper St. Francis Physician Partners Bariatric Surgery
- Surgery Physician
- Ladson, SC
- NPI 1528945912
-
dba Roper St. Francis Physician Partners Bariatric Surgery
- Surgery Physician
- Charleston, SC
- NPI 1245540277
-
dba Roper St. Francis Physician Partners Charleston OB/GYN
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
dba Roper St. Francis Hospitalist Services
- Internal Medicine Physician
- Charleston, SC
- NPI 1013158187
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1689802761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "888-472-0043",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3508 S LIVE OAK DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618774",
"telephone_number": "843-958-2590",
"fax_number": "843-606-7996"
}
],
"practiceLocations": [
{
"address_1": "2093 Henry Tecklenburg Dr Ste 202E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145783",
"country_code": "US",
"telephone_number": "843-958-2520",
"fax_number": "843-402-1972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "BRYAN",
"middle_name": "KENDALL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-26",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "32004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "320049",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moncks Corner, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.