Rex Brugh III, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

SC6455 Issued in SC

Practice address

9 Richland Medical Park
Suite 500
Columbia, SC 29203-6859

Phone

(803) 254-0670

Fax

(803) 254-4595

NPI assigned

Nov 2, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922099407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK",
            "address_2": "SUITE 500",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036859",
            "telephone_number": "803-254-0670",
            "fax_number": "803-254-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK",
            "address_2": "SUITE 500",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036859",
            "telephone_number": "803-254-0670",
            "fax_number": "803-254-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGH",
        "first_name": "REX",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "SC6455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064557",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Rose Bruce
• Caroline Woodall Bruce
• Danielle Bruce, APRN
• Belinda Rose Brucks, LMFT, CST
• Janet Nolan Brugh, RN
• Barbara Denise Bruington
• John William Brumfield Jr., PHARMD
• Nicole Brunet, PHARM.D
• Carley Antoinette Brunetto
• Michael Rutledge Bruno, RDN

• All providers in Columbia, SC
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.