BRIAN K BLAIR (NPI# 1578786075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578786075 |
Entity Type | Individual |
Full Name | BRIAN K BLAIR |
Credential | MD |
Practice Address |
3545 Highway 17 Suite 200 Murrells Inlet SC 29576-5113 |
Mailing Address |
Po Box 4746 Pawleys Island SC 29585-8746 |
Practice Telephone | 8432941941 |
Practice Fax Number | 8432940597 |
Mailing Telephone | 8432941941 |
Mailing Fax Number | 8432940597 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2017-02-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 29468 | SC | Allopathic & Osteopathic Physicians |
Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
29468 | SC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | EVOLUTIONS | 18500 | 01 |
SC | BCBS | 055 | 01 |
SC | AETNA | 9956198 | 01 |
SC | UNISON | 000000245124 | 01 |
SC | 294684 | 05 | |
NC | NC MEDICAID | 5909643 | 01 |
SC | BLUE CHOICE | 053 | 01 |
SC | MEDCOST | 208805 | 01 |
SC | MEDICAREPTAN | AA19548552 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
1841587565 | Brian J Blair | Internal Medicine | 2211 Chapel Ave W Ste 401, Cherry Hill, NJ 08002-2062 | 2011-07-01 |
1447203245 | Brian C Blair | Pharmacist | 120 W Washington, Millstadt, IL 62260 | 2006-05-19 |
1407846868 | Brian Heath Blair | Family Medicine | 2263 Hwy 65 N, Marshall, AR 72650-1266 | 2005-10-26 |
1114491958 | Brian David Blair | Nurse Practitioner | 120 E 2nd St, Erie, PA 16507-1537 | 2019-01-15 |
1265843494 | Brian Austin Blair | Physical Therapist | 125 N Lincoln St Ste H, Dixon, CA 95620-3260 | 2014-05-09 |
1710298385 | Brian Warner Blair | Pediatrics | 19250 Sw 65th Ave Ste 100, Tualatin, OR 97062-7707 | 2010-06-29 |
1447457528 | Brian Blair | Physical Therapist | 6 Davis Rd W, Old Lyme, CT 06371-1448 | 2007-07-02 |
1316998677 | Brian Blair | Pediatrics | 1920 E Cambridge Ave, #301, Phoenix, AZ 85006-1459 | 2006-05-12 |
Street Address |
3545 HIGHWAY 17 SUITE 200 |
City | MURRELLS INLET |
State | SC |
Zip Code | 29576-5113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336110642 | Stephen Q. Parker | Physical Medicine & Rehabilitation | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576-5113 | 2006-01-27 |
1053778282 | Stepheni Witherspoon Edwards | Physical Therapist | 3545 Highway 17, Ste 250, Murrells Inlet, SC 29576-5113 | 2016-01-19 |
1114282688 | Jeremy Beck | Physical Therapist | 3545 Highway 17, Ste 250, Murrells Inlet, SC 29576-5113 | 2012-07-10 |
1669749578 | Todd D Cook | Orthopaedic Surgery | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576-5113 | 2011-11-20 |
1306094016 | Stephen Andrew Putman | Orthopaedic Surgery | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576-5113 | 2008-09-05 |
1780608521 | Christopher T Crosby | Podiatrist | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576-5113 | 2006-07-26 |
1861461592 | Carolina Orthopaedic Specialists, LLC | Podiatrist | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576 | 2006-03-15 |
1417920315 | Michael N Bohan | Orthopaedic Surgery | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576-5113 | 2006-02-10 |
1003889304 | Edward J Mikol | Orthopaedic Surgery | 3545 Highway 17, Suite 200, Murrells Inlet, SC 29576-5113 | 2006-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
Find all providers in zip 29576 |
Taxonomy Code | 207XX0005X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Sports Medicine |
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649288705 | William J Greer | Orthopaedic Surgery | 4040 Highway 17, Suite 101, Murrells Inlet, SC 29576-5098 | 2006-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932369030 | Guillaume David Dumont | Orthopaedic Surgery | 2 Medical Park Road, Suite 104, Columbia, SC 29203-6875 | 2008-06-11 |
1922111715 | South Carolina Sports Medicine & Orthopaedic Center | Orthopaedic Surgery | 9100 Medcom Street, N Charleston, SC 29406 | 2006-08-16 |
1578570107 | Seth P Kupferman | Orthopaedic Surgery | 9100 Medcom St, N Charleston, SC 29406 | 2006-08-03 |
1720096357 | Gary E Windler | Orthopaedic Surgery | 9100 Medicom St, N Charleston, SC 29406 | 2006-08-03 |
1013965789 | Southern Orthopaedic Sports Medicne | Orthopaedic Surgery | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-05-05 |
1427011485 | Thomas A. Leong | Orthopaedic Surgery | 2755 S Highway 14 Ste 1200l, Greer, SC 29650-4902 | 2006-04-10 |
1770552481 | Bright Mcconnell IIi | Orthopaedic Surgery | 900 Island Park Dr, Suite 105, Daniel Island, SC 29492-7559 | 2006-03-15 |
1730162058 | David R Kingery | Orthopaedic Surgery | 811 W Main St Ste 101, Lexington, SC 29072-2500 | 2005-11-21 |
1770583817 | Robert Mario Dasilva | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-07-29 |
1619575958 | Lexington Health Inc | Orthopaedic Surgery | 146 E Hospital Dr Ste 350, West Columbia, SC 29169-4800 | 2020-10-09 |
Find all providers with the same taxonomy |
City | MURRELLS INLET |
Zip Code | 29576 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.