Individual provider Active NPI

Brandon Lloyd Daniels, M.D.

  • Gynecology Physician
  • Aiken, SC
National Provider Identifier
1972763480
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
30852 Issued in SC
Practice address
953 Dougherty Rd
Unit B
Aiken, SC 29803-6508
Phone
(803) 226-0526
Fax
(803) 226-0527
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 30852 SC Primary

Addresses

Primary practice location

953 Dougherty Rd
Unit B
Aiken, SC 29803-6508

Mailing address

16639 Turtle Point Rd
Charlotte, NC 28278-8425
Phone (803) 426-6007

Other identifiers 1

IdentifierTypeStateIssuer
308526MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100106000713 SC Practitioner - Obstetrics/GynecologyPractitioner - General Practice 9032250584 Reassigns benefits to 1 organization
I20210412000573 NC Practitioner - Family Practice 9032250584 Reassigns benefits to 1 organization
Practice locations: Charlotte, NC
I20220209001553 FL Practitioner - Obstetrics/Gynecology 9032250584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30852SCMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Wound Care North Carolina PLLC CurrentSince Mar 10, 2021 Accepting new patients
Hyper Healing CurrentSince Oct 1, 2022 Accepting new patients

Locations

115 N Country Club Rd
Brevard, NC 28712
Phone (828) 553-2546

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

1930 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 767-4465

9275 Medical Plaza Dr
Ste D
North Charleston, SC 29406
Phone (843) 410-4499

9275 Medical Plaza Dr
Ste F
North Charleston, SC 29406
Phone (803) 767-4465

176 McSwain Dr
West Columbia, SC 29169
Phone (803) 767-4465

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1972763480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16639 TURTLE POINT RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282788425",
            "telephone_number": "803-426-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 DOUGHERTY RD",
            "address_2": "UNIT B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036508",
            "telephone_number": "803-226-0526",
            "fax_number": "803-226-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "BRANDON",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "30852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308526",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.