Individual provider Active NPI

Brandon Joseph Crouch, M.D.

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1730479718
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
90739 Issued in SC
Practice address
15 Roe Rd
Greenville, SC 29611-7423
Phone
(864) 295-2308
Fax
(864) 295-0396
NPI assigned
Apr 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 90739 SC Primary

Addresses

Primary practice location

15 Roe Rd
Greenville, SC 29611-7423

Mailing address

300 E McBee Ave
Greenville, SC 29601-2842
Phone (864) 522-2842

Other identifiers 1

IdentifierTypeStateIssuer
907398MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160920002822 OH Practitioner - Family Practice 6901193804 Reassigns benefits to 2 organizations
I20230914002122 SC Practitioner - Family Practice 6901193804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.33 of 100Reported as group
Quality
75.48
Promoting interoperability
100
Improvement activities
40
Cost
72.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90739SCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Jun 1, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Aug 1, 2016 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 2, 2023 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Oct 2, 2023 Accepting new patients
Medcentral Professional Association Inc. Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Fl 1
Grove City, OH 43123
Phone (614) 469-7621

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

231 E Main St
Lexington, OH 44904
Phone (419) 520-3500

375 W Main St
Lexington, OH 44904
Phone (419) 520-3500

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

558 S Trimble Rd
Mansfield, OH 44906
Phone (419) 522-9952

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

15 Roe Rd
Greenville, SC 29611
Phone (864) 295-2308

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bcrouch730732@direct.ghs.myhfn.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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1730479718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ROE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117423",
            "telephone_number": "864-295-2308",
            "fax_number": "864-295-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "BRANDON",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-12",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "90739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907398",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.