Active NPI
George S Bryan, MD
- Emergency Medicine Physician
- Charleston, SC
National Provider Identifier
1962465161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 13015
- Practice address
- 4115 Dorchester Rd
Suite 100
Charleston, SC 29405-7466 - Phone
- (843) 554-6737
- Fax
- (843) 554-3356
- NPI assigned
- Apr 10, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13015 | SC | Primary |
Addresses
Primary practice location
4115 Dorchester Rd
Suite 100
Charleston, SC 29405-7466
Mailing address
4115 Dorchester Rd
Suite 100
Charleston, SC 29405-7466
Phone (843) 554-6737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130156 | Medicaid | SC |
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 |
|---|---|---|---|
| 13015 | SC | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Care, PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1962465161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 DORCHESTER RD",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294057466",
"telephone_number": "843-554-6737",
"fax_number": "843-554-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 DORCHESTER RD",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294057466",
"telephone_number": "843-554-6737",
"fax_number": "843-554-3356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "GEORGE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "13015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130156",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.