Individual provider Active NPI

Brigid Eileen Sullivan, M.D.

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1801057294
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LL31013 Issued in SC
Practice address
9330 Medical Plaza Dr
Coastal Inpatient Physicians
Charleston, SC 29406-9104
Phone
(843) 847-3225
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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 LL31013 SC Primary

Addresses

Primary practice location

9330 Medical Plaza Dr
Coastal Inpatient Physicians
Charleston, SC 29406-9104

Mailing address

724 Hibbens Grant Blvd
Mount Pleasant, SC 29464-8236
Phone (843) 324-0227

Other identifiers 1

IdentifierTypeStateIssuer
310130MedicaidSC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110919000052 SC Practitioner - Family PracticePractitioner - Internal Medicine 0840461158 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL31013SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Group Services, LLC CurrentSince Sep 1, 2013 Accepting new patients
Liberty Doctors LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Liberty Doctors, LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince May 30, 2025 Accepting new patients
24 On Physicians of SC, LLC CurrentSince Apr 1, 2020 Accepting new patients
University Medical Associates of the Medical University of South Carol Family Medicine CurrentSince May 30, 2025 Accepting new patients
Coastal Inpatient Physicians, LLC Past Accepting new patients

Locations

135 Rutledge Ave
Charleston, SC 29425
Phone (803) 569-1757

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

8761 Dorchester Rd
Ste 230
North Charleston, SC 29420
Phone (843) 225-8320

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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 6

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1801057294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 HIBBENS GRANT BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648236",
            "telephone_number": "843-324-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "address_2": "COASTAL INPATIENT PHYSICIANS",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-847-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BRIGID",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL31013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310130",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.