Individual provider Active NPI

Gayle L Brook, DO

  • Family Medicine Physician
  • Pawley's Island, SC
National Provider Identifier
1902987407
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
411 Issued in SC
Practice address
113 Willbrook Blvd Unit F
Pawleys Island, SC 29585-8245
Phone
(843) 353-6015
Fax
(843) 594-5149
NPI assigned
Oct 18, 2006
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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 411 SC Primary

Addresses

Primary practice location

113 Willbrook Blvd Unit F
Pawleys Island, SC 29585-8245

Mailing address

201 Sigma Dr Ste 100
Summerville, SC 29486-7722
Phone (843) 695-6071

Other practice location 1

912 Inlet Square Dr
Murrells Inlet, SC 29576-7812
Phone (843) 651-4111

Other practice location 2

14866 Ocean Hwy
Pawleys Island, SC 29585-4801
Phone (843) 235-0760

Other identifiers 3

IdentifierTypeStateIssuer
080188463OtherSCRAILROAD MEDICARE
T00111MedicaidSC
P00754401OtherSCRAILROAD MC ID-RSFPN

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
I20080312000018 SC Practitioner - Family Practice 3577552835 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

7430 College St
Irmo, SC 29063-2903
Phone (839) 200-7810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
411SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Aug 25, 2025 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine Current Accepting new patients
Three Rivers Medical Associates, PA CurrentSince Sep 19, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Three Rivers Medical Associates, PA Family Medicine CurrentSince Sep 19, 2023 Accepting new patients
Palmetto Primary Care Physicians, LLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
SC House Calls Inc Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Three Rivers Medical Associates, PA Family Medicine Current Accepting new patients
LB & KM LLC Family Medicine CurrentSince May 11, 2004 Accepting new patients
James M. Vest, MD PC Family Medicine Past Accepting new patients
James M Vest MD PC Family Medicine Past Accepting new patients
Dr. Louis Divalentin, LLC Past Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

114 Gateway Corporate Blvd
Ste 300
Columbia, SC 29203
Phone (803) 254-3278

1301 Taylor St
Ste 5K
Columbia, SC 29201
Phone (803) 765-2090

7430 College St
Irmo, SC 29063
Phone (803) 732-4001

4630 Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-1299

4033 Highway 17
Unit 103
Murrells Inlt, SC 29576
Phone (843) 357-1299

912 Inlet Square Dr
Murrells Inlt, SC 29576
Phone (843) 347-3334

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

113 Willbrook Blvd
Unit F
Pawleys Island, SC 29585
Phone (843) 353-6015

14866 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 235-0760

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: gayle.brook.1@25140.direct.athenahealth.com
  • Direct secure messaging: gayle.brook.1@7602.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25140/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1902987407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SIGMA DR STE 100",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867722",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WILLBROOK BLVD UNIT F",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858245",
            "telephone_number": "843-353-6015",
            "fax_number": "843-594-5149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Inlet Square Dr",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295767812",
            "country_code": "US",
            "telephone_number": "843-651-4111",
            "fax_number": "843-651-1047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14866 Ocean Hwy",
            "address_purpose": "LOCATION",
            "city": "Pawleys Island",
            "state": "SC",
            "postal_code": "295854801",
            "country_code": "US",
            "telephone_number": "843-235-0760",
            "fax_number": "843-492-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOK",
        "first_name": "GAYLE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080188463",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T00111",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MC ID-RSFPN",
            "identifier": "P00754401",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

Verify at the official NPI Registry.