Individual provider Active NPI

Brede Skillings, M.D.

  • Ophthalmology Physician
  • Murrells Inlet, SC
National Provider Identifier
1851741482
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
84524 Issued in SC
Practice address
4055 Highway 17
Murrells Inlet, SC 29576-5032
Phone
(843) 652-3937
Fax
(843) 652-3939
NPI assigned
Jun 14, 2016
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 84524 SC Primary

Addresses

Primary practice location

4055 Highway 17
Murrells Inlet, SC 29576-5032

Mailing address

PO Box 1919
Murrells Inlet, SC 29576-1919
Phone (843) 652-3937

Other practice location 1

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MurrellsInlet

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
I20200814000958 SC Practitioner - Ophthalmology 1850683616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Florida Atlantic University, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Eye Group, P.C.Group PAC ID 2466434717, shared by 5 NPIs, 10 clinicians

Practice addresses (Care Compare)

1200 Highmarket St
Suite 200
Georgetown, SC 29440-3227
Phone (843) 546-8421

4055 Hwy 17
Murrells Inlet, SC 29576-5032
Phone (843) 652-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.67 of 100Reported as group
Quality
93.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery793
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Aug 10, 2020 Accepting new patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Aug 10, 2020 Accepting new patients
Coastal Eye Group, P.C. Ophthalmology CurrentSince Aug 10, 2020 Accepting new patients
Coastal Eye Group, PC Ophthalmology CurrentSince Aug 10, 2020 Accepting new patients

Locations

1200 Highmarket St
Ste 200
Georgetown, SC 29440
Phone (803) 546-8421

90 Cedar Light Ln
Little River, SC 29566
Phone (843) 280-8779

4055 Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-3937

401 79th Ave N
Myrtle Beach, SC 29572
Phone (843) 449-7115

Interoperability endpoints

  • Direct secure messaging: bskillings@ceg.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1851741482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1919",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295761919",
            "telephone_number": "843-652-3937",
            "fax_number": "843-652-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 HIGHWAY 17",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765032",
            "telephone_number": "843-652-3937",
            "fax_number": "843-652-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1653 W Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123833",
            "country_code": "US",
            "telephone_number": "312-942-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKILLINGS",
        "first_name": "BREDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "84524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MurrellsInlet",
            "affiliation": "N",
            "address_1": "4055 Highway 17",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.