Brett William Elder

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1051 Southern Dr Unit 3707
Columbia, SC 29201-5622

Phone

(503) 508-2699

NPI assigned

Jul 8, 2020

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1922626720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 SOUTHERN DR UNIT 3707",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292015622",
            "telephone_number": "503-508-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 SOUTHERN DR UNIT 3707",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292015622",
            "telephone_number": "503-508-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "BRETT",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarsalynn Eichelberger
• Eikongroup
• Enare Ekure
• Mohamed Medhat El Geneidy, M.D.
• Jamil Abed El-Shami, MSN, FNP
• Sherry Elder, FNP
• G Paul Eleazer, M.D.
• Joseph Antony Elengickal
• Elevated Wellness
• Erin O'Neal Elfert, MSP, CCC-SLP

• Student in an Organized Health Care Education/Training Program in Columbia, SC
• Providers in Columbia, SC by specialty
• Student in an Organized Health Care Education/Training Program in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.