Active NPI
Gayle L Brook, DO
- Family Medicine Physician
- Pawley's Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 411
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080188463 | Other | SC | RAILROAD MEDICARE |
| T00111 | Medicaid | SC | |
| P00754401 | Other | SC | RAILROAD 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 411 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Three Rivers Medical Associates, PA | Current | Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Three Rivers Medical Associates, PA | Family Medicine | Current | Accepting new patients |
| Palmetto Primary Care Physicians, LLC | Family Medicine | Current | Accepting new patients |
| SC House Calls Inc | Family Medicine | Current | Accepting new patients |
| Three Rivers Medical Associates, PA | Family Medicine | Current | Accepting new patients |
| LB & KM LLC | Family Medicine | Current | 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
- gayle.brook.1@25140.direct.athenahealth.com
- gayle.brook.1@7602.direct.athenahealth.com
- 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.
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
-
- Internal Medicine Physician
- Irmo, SC
- NPI 1760445597
Family Medicine
-
dba PPCP Canterbury House
- Family Medicine Physician
- Charleston, SC
- NPI 1073234928
-
- Family Medicine Physician
- West Columbia, SC
- NPI 1710875141
-
- Family Medicine Physician
- Murrells Inlet, SC
- NPI 1184190530
-
- Family Medicine Physician
- Summerville, SC
- NPI 1366123739
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1124901459
-
- Internal Medicine Physician
- Columbia, SC
- NPI 1306599725
Family Medicine
-
- Family Medicine Physician
- Surfside Beach, SC
- NPI 1710065941
-
- Family Medicine Physician
- Surfside Beach, SC
- NPI 1013066042
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tidelands Health Skilled Care
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
Hospital
-
dba Tidelands Georgetown Memorial Hospital
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.
- 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.