Individual provider Active NPI

Bryan Patrick Fleming, CRNA

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
National Provider Identifier
1962843755
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
19562 Issued in SC
Practice address
7900 N Kings Hwy
Myrtle Beach, SC 29572-3055
Phone
(843) 449-3381
Fax
(843) 629-9621
NPI assigned
Jul 10, 2013
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 93677 NC
Certified Registered Nurse Anesthetist 367500000X 19562 SC Primary

Addresses

Primary practice location

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055

Mailing address

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055
Phone (843) 449-3381

Other practice location 1

3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 873-9533 ext. 376

Other identifiers 1

IdentifierTypeStateIssuer
1962843755MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140128000735 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547215642 Reassigns benefits to 6 organizations
I20151106002282 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547215642 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Anesthesia Associates PAGroup PAC ID 1456251057, 67 clinicians
Charlotte Gastroenterology and Hepatology PLLCGroup PAC ID 3870489412, shared by 3 NPIs, 76 clinicians
Carolina Regional Anesthesia PLLCGroup PAC ID 5496921769, 51 clinicians

Practice addresses (Care Compare)

106 Alexander Bank Dr
Suite 100
Mooresville, NC 28117-0100
Phone (704) 660-4055

2015 Randolph Rd
Suite 101
Charlotte, NC 28207-1200
Phone (704) 377-4009

653 Bluefield Rd
Suite D
Mooresville, NC 28117-9626
Phone (704) 883-3378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
93677NCMDCertified Registered Nurse Anesthetist
19562SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Health Cheraw CurrentSince Mar 1, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC Anesthesiology CurrentSince Feb 28, 2017 Accepting new patients
McLeod Loris Seacoast Hospital Nurse Anesthetist, Certified Registered CurrentSince Nov 23, 2020 Accepting new patients
McLeod Health Cheraw Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Nov 1, 2023 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Nov 23, 2020 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Nov 21, 2023 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Strand Gi Associates PA Anesthesiology CurrentSince Nov 12, 2017 Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Nov 1, 2023 Accepting new patients
McLeod Physician Associates II Anesthesiology Current Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Nov 1, 2023 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Mar 1, 2020 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
Coastal Carolina Centers of Urology and Surgery LLC Current Accepting new patients

Locations

15830 Ballantyne Medical Pl
Ste 175
Charlotte, NC 28277
Phone (704) 323-7633

2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

106 Alexander Bank Dr
Ste 100
Mooresville, NC 28117
Phone (704) 660-4055

115 Commerce Pointe Blvd
Mooresville, NC 28117
Phone (423) 343-7032

653 Bluefield Rd
Ste D
Mooresville, NC 28117
Phone (704) 360-6470

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304

822 Farrar Dr
Conway, SC 29526
Phone (843) 347-9587

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

101 Surgeons Dr
Myrtle Beach, SC 29579
Phone (803) 504-7194

7900 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 449-3381

945 82nd Pkwy
Ste 3A
Myrtle Beach, SC 29572
Phone (843) 449-3381

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1962843755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-629-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-629-9621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Spring Forest Rd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276162880",
            "country_code": "US",
            "telephone_number": "919-873-9533 x376",
            "fax_number": "919-873-9821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "BRYAN",
        "middle_name": "PATRICK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "93677",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "19562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962843755",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.