Brian A Harbison, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

A594 Issued in SC

Practice address

311 Club Colony Circle
Blythewood, SC 29016-8282

Phone

(843) 788-5916

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBCFCD/Endpoint/EBCFCD
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Curana Health of South Carolina PC

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1316477896
  Medicare reassignment
• Fairfield Medical Associates, LLC

  • Rural Health Clinic/Center
  • Winnsboro, SC
  • NPI 1184737892
  Medicare reassignment
• Physician'S Pain and Spine Center, LLC

  • Interventional Pain Medicine Physician
  • West Coumbia, SC
  • NPI 1336475573
  NPD (past)
• SCB Inc

  • Medical Specialty Clinic/Center
  • Blythewood, SC
  • NPI 1396700183
  NPD (past)
• Senior Health Associates, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Beaufort, SC
  • NPI 1023155728
  NPD (past)
• Curana Health of Nevada PLLC

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1649755646
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1790738086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291805218",
            "telephone_number": "843-754-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 CLUB COLONY CIRCLE",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168282",
            "telephone_number": "843-788-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBISON",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "A594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "A594",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Shields of South Carolina Inc
• Golden Years Support Services LLC
• Faith Gordon
• Jamie S. Gordon, MSP, CCC-SLP
• Brooke L. Green, P.T.A.
• Temple M Hart
• Healing Heart Wellness and Therapeutic Services
• Healthcare Solutions by KSS
• Helping Hearts Development Corporation
• Numa Charles Hero III, M.D.

• Medical Physician Assistant in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.