Active NPI
Brandon Joseph Crouch, M.D.
- Family Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 90739
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 907398 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.33 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 90739 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Urgent Care LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Family Medicine | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Family Medicine | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Urgent Care Clinic/Center
- Dublin, OH
- NPI 1811207160
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Anesthesiology Physician
- Mansfield, OH
- NPI 1306878863
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.