BRYAN KEITH (NPI# 1457884421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457884421 |
| Entity Type | Individual |
| Full Name | BRYAN KEITH |
| Credential | DPT |
| Practice Address |
320 W Butler Rd Mauldin SC 29662-2538 |
| Mailing Address |
112 Bradford Blvd Suite 500 Gordonsville TN 38563-4617 |
| Practice Telephone | 8652257300 |
| Practice Fax Number | 8652257301 |
| Mailing Telephone | 6156833010 |
| Mailing Fax Number | 6159833016 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
8497 | SC | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 11382 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
320 W BUTLER RD |
| City | MAULDIN |
| State | SC |
| Zip Code | 29662-2538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862399 | Connie Painter | Behavior Technician | 103 Miller Rd, Mauldin, SC 29662 | 2017-03-20 |
| 1073061610 | Lisa Rist | Counselor | 400 South Main St Suite C, Mauldin, SC 29662 | 2016-09-12 |
| 1285181347 | Jennifer Wise | Specialist/Technologist | 310 Neely Ferry Road, Mauldin, SC 29662 | 2016-09-07 |
| 1467908236 | Maan Aziz Kerzzo | Pharmacist | 129 West Butler Road, Mauldin, SC 29662 | 2016-08-31 |
| 1083011357 | Southeast Transportation Services LLC | Non-emergency Medical Transport (VAN) | 411 N. Main St., Mauldin, SC 29662 | 2014-12-02 |
| 1174926471 | Holly Christine Waite | Chiropractor | 785 E Butler Rd, Ste D, Mauldin, SC 29662 | 2014-09-30 |
| 1194138701 | Vanessa Vance-logan | Case Manager/Care Coordinator | 400 West Butler Road; Suite B-1, Mauldin, SC 29662 | 2014-06-11 |
| 1265771984 | Connie Mae Lenagh | Nurse Practitioner | 924 E. Butler Rd, Mauldin, SC 29662 | 2013-02-01 |
| 1679823918 | Linda W Gerhart | Pharmacist | 224 East Butler Rd, Mauldin, SC 29662 | 2012-09-13 |
| 1114277894 | David Merz Banks | Pharmacist | 315 West Butler Rd, Mauldin, SC 29662 | 2012-09-11 |
| Find all providers in zip 29662 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900047 | Jacob Louis Slann | Physical Medicine & Rehabilitation | 408 College Ave, Clemson, SC 29631-1441 | 2020-07-24 |
| 1821607185 | Bobby Papariella | Physical Medicine & Rehabilitation | 16 Verona Cir, Simpsonville, SC 29681-6615 | 2020-07-23 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1154388064 | Nancy Rose Lembo | Physical Medicine & Rehabilitation | 763 Travelers Blvd, Suite D, Summerville, SC 29485-8796 | 2006-04-26 |
| 1942266176 | Palmetto Spine & Sports Medicine, Pa | Physical Medicine & Rehabilitation | 3030 Ashley Town Center Dr, Blgd A-102, Charleston, SC 29414-5664 | 2006-04-25 |
| 1821624479 | Deepa V Patel | Physical Medicine & Rehabilitation | 2695 Elms Plantation Blvd Ste C, North Charleston, SC 29406-7132 | 2020-03-16 |
| 1356995211 | Okatie Physical Therapy and Sports Medicine | Physical Medicine & Rehabilitation | 149 Riverwalk Blvd Ste 3, Ridgeland, SC 29936-8191 | 2019-07-30 |
| 1366906281 | Olivia Forrest | Physical Medicine & Rehabilitation | 701 Oakland Ave, Rock Hill, SC 29733-7001 | 2019-01-24 |
| 1558889980 | Brandon Lee Edwards | Physical Medicine & Rehabilitation | 2439 Willwood Dr, Florence, SC 29501-3904 | 2017-09-06 |
| 1821512955 | Jacqueline Lee Hawk | Physical Medicine & Rehabilitation | 2439 Willwood Dr, Florence, SC 29501-3904 | 2017-07-31 |
| Find all providers with the same taxonomy | ||||
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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.