Individual provider Active NPI

Brianna Londono West, PA-C

  • Medical Physician Assistant
  • Beaufort, SC
National Provider Identifier
1780417626
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1231 Ribaut Rd
Beaufort, SC 29902-6147
Phone
(843) 766-7103
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

1231 Ribaut Rd
Beaufort, SC 29902-6147

Mailing address

614 Arnold Dr
Beaufort, SC 29902-4303
Phone (843) 263-2141

Other names 1

  • Brianna Norella Londono Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926003982 SC Practitioner - Physician Assistant 7517498827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charleston ENT Associates, LLCGroup PAC ID 4082662234, 77 clinicians

Practice addresses (Care Compare)

10 Arley Way
Suite 101
Bluffton, SC 29910-4883
Phone (843) 682-3955

1231 Ribaut Rd
Beaufort, SC 29902-6147
Phone (843) 525-6622

1849 Savage Rd
Charleston, SC 29407-4726
Phone (843) 766-7103

23 Main St
Suite 201
Hilton Head, SC 29926-6607
Phone (843) 682-3955

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston ENT Associates, LLC Single Specialty CurrentSince Sep 16, 2024 Accepting new patients

Locations

1231 Ribaut Rd
Beaufort, SC 29902
Phone (843) 525-6622

6 Arley Way
#101
Bluffton, SC 29910

2295 Henry Tecklenburg Dr
Charleston, SC 29414

1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600

23 Main St
Ste 201
Hilton Head Island, SC 29926
Phone (843) 682-3955

Interoperability endpoints

  • Direct secure messaging: brianna.west.p1@direct.entap.nextgenshare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1780417626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 ARNOLD DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024303",
            "telephone_number": "843-263-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299026147",
            "telephone_number": "843-766-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "BRIANNA",
        "middle_name": "LONDONO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "LONDONO",
            "middle_name": "NORELLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.