Michele K Bryant, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4021 Issued in SC

Practice address

119 Village Dr
Greer, SC 29651

Phone

(864) 877-6477

Fax

(864) 877-6420

NPI assigned

Feb 27, 2006

Sex

Female

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

Other names 1

• Michele Kathleen Corney Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1851367007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VILLAGE DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29651",
            "telephone_number": "864-877-6477",
            "fax_number": "864-877-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VILLAGE DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29651",
            "telephone_number": "864-877-6477",
            "fax_number": "864-877-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MICHELE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4021",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "CORNEY",
            "middle_name": "KATHLEEN",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edmund Joseph Brown, M.D.
• Megan Roben Brown, FNP
• Shelly Lynn Brown
• Jack Wade Brunson Jr., M.D.
• Brushy Creek Rehabilitation and Healthcare Center, LLC
• Roy Roger Bryant Jr., DMD
• Tayloria Bryant
• Austin Bryson
• Fred Buchanan Jr., P.T.
• Christina Jackson Buchheit, LMFT

• General Practice Dentistry in Greer, SC
• Providers in Greer, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.