Active NPI
Brooke S. Plewinski, PA
- Medical Physician Assistant
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2273
- Practice address
- 669 Marina Dr Ste A2
Charleston, SC 29492-7573 - Phone
- (843) 491-9960
- NPI assigned
- Jun 30, 2008
- Last updated
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2273 | SC | Primary |
Addresses
Primary practice location
669 Marina Dr Ste A2
Charleston, SC 29492-7573
Mailing address
PO Box 751874
Charlotte, NC 28275-1874
Phone (843) 402-5200
Other practice location 1
1064 Gardner Rd Ste 105-106
Charleston, SC 29407-5768
Phone (843) 491-9960
Other practice location 2
110B Springhall Dr
Goose Creek, SC 29445-5335
Phone (843) 491-9960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2525PA | Medicaid | SC |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ebbtide Comprehensive Care | Current | Accepting new patients | |
| Liberty Doctors LLC | Current | Accepting new patients | |
| Bon Secours St Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Bon Secours St. Francis Xavier Hospital, Inc. | Current | Accepting new patients | |
| Liberty Doctors LLC | Past | Accepting new patients | |
| First Stop Urgent Care Center PSC | Past | Accepting new patients | |
| Liberty Doctors LLC Dba Ebb Tide Comprehensive Care | Past | Accepting new patients |
Locations
1064 Gardner Rd
Ste 105106
Charleston, SC 29407
Phone (843) 491-9955
1315 Ashley River Rd
Charleston, SC 29407
Phone (843) 491-9955
2085 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 577-6957
418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320
669 Marina Dr
Ste A
Charleston, SC 29492
669 Marina Dr
Ste A2
Daniel Island, SC 29492
Phone (843) 491-9955
110 Springhall Dr
Ste B
Goose Creek, SC 29445
Phone (843) 491-9955
2910 Tricom St
North Charleston, SC 29406
Phone (843) 572-9211
2910 Tricom St
Ste 100
North Charleston, SC 29406
Phone (843) 572-9211
8761 Dorchester Rd
Ste 230
North Charleston, SC 29420
Phone (843) 225-8320
Interoperability endpoints
- bplewinski@libertydoctors.ssdirect.aprima.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1609561935
-
dba Mackey Family Practice
- Family Medicine Physician
- Charleston, SC
- NPI 1700162203
-
- Emergency Medicine Physician
- Charleston, SC
- NPI 1770867442
-
dba Charleston Oncology A Department of Bon Secours St. Francis Hospital
- Hematology & Oncology Physician
- Summerville, SC
- NPI 1841934064
-
dba Roper St. Francis Healthcare Pediatrics
- Pediatrics Physician
- Charleston, SC
- NPI 1982583068
-
dba Hope Clinic LLC
- Internal Medicine Physician
- Moncks Corner, SC
- NPI 1144299470
-
- Internal Medicine Physician
- Charleston, SC
- NPI 1588434245
-
- Family Medicine Physician
- La Grange, KY
- NPI 1285731497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1902068984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751874",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751874",
"telephone_number": "843-402-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 MARINA DR STE A2",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294927573",
"telephone_number": "843-491-9960"
}
],
"practiceLocations": [
{
"address_1": "1064 Gardner Rd Ste 105-106",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294075768",
"country_code": "US",
"telephone_number": "843-491-9960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110B Springhall Dr",
"address_purpose": "LOCATION",
"city": "Goose Creek",
"state": "SC",
"postal_code": "294455335",
"country_code": "US",
"telephone_number": "843-491-9960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLEWINSKI",
"first_name": "BROOKE",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "2273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2525PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.