Active NPI
Carl William Brune, MD
- Psychiatry Physician
- Beaufort, SC
National Provider Identifier
1912934191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 029597
- Practice address
- 1050 Ribaut Rd
Beaufort, SC 29902-5400 - Phone
- (843) 524-3378
- Fax
- (843) 524-1879
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 029597 | GA | Primary |
Addresses
Primary practice location
1050 Ribaut Rd
Beaufort, SC 29902-5400
Mailing address
1050 Ribaut Rd
Beaufort, SC 29902-5400
Phone (843) 524-3378
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00401596A | Medicaid | GA | |
| G29597 | Other | SC | SOUTH CAROLINA MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029597 | GA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1912934191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 RIBAUT RD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025400",
"telephone_number": "843-524-3378",
"fax_number": "843-524-8179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 RIBAUT RD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025400",
"telephone_number": "843-524-3378",
"fax_number": "843-524-1879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNE",
"first_name": "CARL",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "029597",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00401596A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA MEDICAID",
"identifier": "G29597",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.