Anthony J Brundage, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2581 Issued in SC

Practice address

608 E Columbia Ave
Batesburg-Leesville, SC 29070-7318

Phone

(803) 359-2323

Fax

(803) 359-2331

NPI assigned

Mar 31, 2006

Last updated

Apr 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• First Physical Therapy LLC

  dba CORA Physical Therapy - Lexington

  • Rehabilitation Clinic/Center
  • Lexington, SC
  • NPI 1679513030
  NPD (past)
• First Physical Therapy, LLC

  dba CORA Physical Therapy - Simpsonville

  • Rehabilitation Clinic/Center
  • Simpsonville, SC
  • NPI 1689245607
  NPD (past)
• Progressive Phyiscal Therapy, PA

  dba Progressive Physical Therapy Seven Oaks

  • Physical Therapist
  • Columbia, SC
  • NPI 1487929105
  NPD (past)
• Progressive Physical Therapy, P.a.

  • Physical Therapist
  • Columbia, SC
  • NPI 1093762718
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1902867724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GATEWAY CORNERS PARK",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038906",
            "telephone_number": "803-359-2323",
            "fax_number": "803-359-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E COLUMBIA AVE",
            "city": "BATESBURG-LEESVILLE",
            "state": "SC",
            "postal_code": "290707318",
            "telephone_number": "803-359-2323",
            "fax_number": "803-359-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNDAGE",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cagney Baker, RN-BSN
• Bio-Medical Applications of South Carolina Inc (Fresenius Medical Care of Batesburg Leesville)
• Laura L Craig, FNP
• Jeanna Marie Dauzy
• James Desrosiers
• Samantha Detore, DC
• Tracy Phuong Dinh, PHARMD

• Physical Therapist in Batesburg Leesville, SC
• Providers in Batesburg Leesville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.