BRIAN K WYLES (NPI# 1467404335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467404335 |
| Entity Type | Individual |
| Full Name | BRIAN K WYLES |
| Credential | FNP |
| Practice Address |
501 Robertson Blvd Colleton Medical Center Walterboro SC 29488 |
| Mailing Address |
302 Medical Park Dr Suite 210 Walterboro SC 29488-5747 |
| Practice Telephone | 8437822767 |
| Practice Fax Number | 8435496867 |
| Mailing Telephone | 8437822767 |
| Mailing Fax Number | 8435496867 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN997 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0268 | 05 |
| Street Address |
501 ROBERTSON BLVD COLLETON MEDICAL CENTER |
| City | WALTERBORO |
| State | SC |
| Zip Code | 29488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354888 | Kimberly D Rakes-stephens | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2005-05-31 |
| 1114482726 | Rachel Mcniesh | Dietitian, Registered | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2019-02-07 |
| 1386120301 | Kara A Ott | Nurse Practitioner | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2018-07-12 |
| 1386143311 | Andrew S Cook | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2018-02-05 |
| 1780057505 | Boxwood Emergency Physicians, LLC | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2015-11-02 |
| 1730552639 | Driftwood Emergency Physicians, LLC | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2015-11-02 |
| 1326446584 | Katherine Heacock | Dietitian, Registered | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-12-19 |
| 1265841134 | Greylock Emergency Physicians LLC | Emergency Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-08-05 |
| 1265841126 | Half Dome Inpatient Services LLC | Internal Medicine | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-08-05 |
| 1225440951 | Cheryl Dunlop | Physician Assistant | 501 Robertson Blvd, Walterboro, SC 29488-2787 | 2014-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996880 | Tamela Johnson | Counselor | 1439 Thunderbolt Drive Walterboro, Sc 29488, 1439 Thunderbolt Drive Walterboro, Sc 29488, Walterboro, SC 29488 | 2020-09-15 |
| 1558727941 | Amber Henderson | Counselor | 2004 Jefferies Hwyv, Walterbori, SC 29488 | 2016-01-14 |
| 1710130471 | George's Clearvision | Optometrist | 1009 Bells Hwy, Walterboro, SC 29488 | 2008-10-28 |
| 1992965503 | Colleton Chiropractic, LLC | Chiropractor | 211 Eddie Chasteen Drive, Walterboro, SC 29488 | 2008-06-17 |
| 1083885867 | Lowcountry Imaging Associates, LLC | Clinic/Center | 211 Meadow Street, Walterboro, SC 29488 | 2008-03-19 |
| 1215106794 | Lowcountry Center for Diabetes & Endocrinology Pa | Specialist | 16 Northside Dr., Walterboro, SC 29488 | 2008-02-28 |
| 1649399445 | Dan Russell Yarbrough | Dentist | 100a Commerce Drive, Walterboro, SC 29488 | 2007-03-29 |
| 1902931355 | Colleton County School District | Speech-Language Pathologist | 611 Colletonloop, Walterboro, SC 29488 | 2007-02-23 |
| 1477616555 | Samuel Michael Hazel | Dentist | 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 | 2006-12-19 |
| 1245243823 | Landrum Rescue Squad | Ambulance | 203 B Eddie Chasteen Blvd, Walterborough, SC 29488 | 2006-08-14 |
| Find all providers in zip 29488 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801458765 | Courtney Danielle Bunton Alberts | Nurse Practitioner | 302 Medical Park Dr Ste 210, Walterboro, SC 29488-5749 | 2019-07-01 |
| 1013471101 | Alyssa W Ursini | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2019-01-23 |
| 1639110299 | Christina Bashnan Martin | Nurse Practitioner | 302 Medical Park Dr Ste 211, Walterboro, SC 29488-5749 | 2006-06-08 |
| 1154369353 | William Furman Melton Jr. | Nurse Practitioner | 217 Lemacks St, Walterboro, SC 29488 | 2006-06-02 |
| 1194726414 | Kathryn Anne Vanravenstein | Nurse Practitioner | 401 Witsell St, Walterboro, SC 29488-3052 | 2005-08-09 |
| 1104425990 | Kelly Ann Flynn | Nurse Practitioner | 447 Spruce St, Walterboro, SC 29488-2766 | 2020-10-22 |
| 1609405224 | Danya Kay Gioiello | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2020-04-06 |
| 1538794565 | Tammy Yarnell Warren | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2020-03-10 |
| 1467011213 | Robert Shelton Sizemore IIi | Nurse Practitioner | 1515 Bells Hwy, Walterboro, SC 29488-2517 | 2019-06-06 |
| 1285107110 | Autumn Lee Hillegas | Nurse Practitioner | 873 Robertson Blvd, Walterboro, SC 29488-3082 | 2019-01-03 |
| Find all providers in WALTERBORO | ||||
| City | WALTERBORO |
| Zip Code | 29488 |
Please comment or provide details below to improve the information on BRIAN K WYLES.
| 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.