Individual provider Active NPI

Daniel Walter Brake Jr., M.D.

  • Family Medicine Physician
  • Greenville, SC
National Provider Identifier
1861432387
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23655 Issued in SC
Practice address
124 Verdae Blvd Ste 204
Greenville, SC 29607-3844
Phone
(864) 315-1300
Fax
(864) 315-1301
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 23655 SC Primary

Addresses

Primary practice location

124 Verdae Blvd Ste 204
Greenville, SC 29607-3844

Mailing address

124 Verdae Blvd Ste 204
Greenville, SC 29607-3844
Phone (864) 315-1300

Other identifiers 3

IdentifierTypeStateIssuer
236550MedicaidSC
7602457OtherSCAETNA
P00038952OtherSCRR MEDICARE

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
I20071218000424 SC Practitioner - Family Practice 6901996677 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Partnermd South Carolina PCGroup PAC ID 9931345766, 3 clinicians
Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Practice addresses (Care Compare)

124 Verdae Blvd
Suite 204
Greenville, SC 29607-3844
Phone (864) 315-1300

300 Scuffletown Rd
Simpsonville, SC 29681-7204
Phone (864) 329-0029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partnermd South Carolina, P.C. Family Medicine CurrentSince Feb 2, 2026 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Feb 13, 2022 Accepting new patients
Prisma Health Urgent Care of South Carolina, PC CurrentSince Feb 1, 2023 Accepting new patients
Prisma Health University Medical Group CurrentSince Feb 13, 2022 Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients
St Francis Physician Services Inc Family Medicine Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

124 Verdae Blvd
Ste 204
Greenville, SC 29607
Phone (864) 271-9780

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

717 SE Main St
Simpsonville, SC 29681
Phone (864) 522-5400

Interoperability endpoints

  • Direct secure messaging: dbrake53260@direct.ghs.myhfn.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1861432387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 VERDAE BLVD STE 204",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073844",
            "telephone_number": "864-315-1300",
            "fax_number": "864-315-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 VERDAE BLVD STE 204",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073844",
            "telephone_number": "864-315-1300",
            "fax_number": "864-315-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKE",
        "first_name": "DANIEL",
        "middle_name": "WALTER",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236550",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7602457",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00038952",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.