Organization Active NPI

Bright McConnell III MD LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Charleston, SC
National Provider Identifier
1699972935
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
BRIGHT MCCONNELL III MD LLC
Practice address
900 Island Park Dr
Suite 105
Charleston, SC 29492-7559
Phone
(843) 284-5200
Fax
(843) 284-5201
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dr. Bright McConnell III, MDNPI 1770552481
Title
Owner
Phone
(843) 284-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

900 Island Park Dr
Suite 105
Charleston, SC 29492-7559

Mailing address

900 Island Park Dr
Suite 105
Charleston, SC 29492-7559
Phone (843) 284-5200

Other names 1

  • Charleston Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060315000497 SC Part B Supplier - Clinic/Group Practice 2567479595 Receives reassigned benefits from 4 practitioners
Practice locations: Daniel Island, SC
O20100930020421 SC DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2567479595 Practice locations: Daniel Island, SC

National Provider Directory

National Provider Directory

Locations

234 Seven Farms Dr
Ste 115
Daniel Island, SC 29492
Phone (843) 284-5200

900 Island Park Dr
Ste 105
Daniel Island, SC 29492
Phone (843) 284-5200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1699972935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ISLAND PARK DR",
            "address_2": "SUITE 105",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927559",
            "telephone_number": "843-284-5200",
            "fax_number": "843-284-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ISLAND PARK DR",
            "address_2": "SUITE 105",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294927559",
            "telephone_number": "843-284-5200",
            "fax_number": "843-284-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT MCCONNELL III MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "BRIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-284-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.