DR. BRIAN ALEXANDER WEATHERBY (NPI# 1548380850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548380850 |
| Entity Type | Individual |
| Full Name | DR. BRIAN ALEXANDER WEATHERBY |
| Credential | MD |
| Practice Address |
727 Se Main St Ste 220 Simpsonville SC 29681-3262 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8644547422 |
| Practice Fax Number | 8644546605 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | M9734 | TX | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 39782 | TN | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
29484 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
727 SE MAIN ST STE 220 |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681-3262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326423831 | Cristin Michelle Henry | Physician Assistant | 727 Se Main St Ste 220, Simpsonville, SC 29681 | 2015-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| Find all providers in zip 29681 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226534 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 101 Business Park Blvd Fl 2, Columbia, SC 29203-8401 | 2017-07-05 |
| 1174045124 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 2 Medical Park Rd Ste L9l10, Columbia, SC 29203-6808 | 2017-07-12 |
| 1588905244 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 319 Folly Rd, Charleston, SC 29412 | 2013-03-06 |
| 1427392281 | Roper Saint Francis Physicians Network | Orthopaedic Surgery | 149 Saint James Ave, Goose Creek, SC 29445-2923 | 2012-11-19 |
| 1912046715 | Alexander James Pappas | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 | 2007-02-06 |
| 1639240021 | Ross N Taylor | Orthopaedic Surgery | 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 | 2006-11-10 |
| 1609988260 | Joseph Thomas Anderson | Orthopaedic Surgery | 200 Patewood Dr, Suite C100, Greenville, SC 29615-3593 | 2006-08-31 |
| 1679596548 | Orthopaedic Specialists of Charleston | Orthopaedic Surgery | 2093 Henry Tecklenburg Dr, Ste 200, Charleston, SC 29414 | 2006-07-25 |
| 1740238773 | Strand Orthopaedic Consultants, LLC | Orthopaedic Surgery | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 | 2006-05-04 |
| 1841291598 | William C James IIi | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-08-03 |
| Find all providers with the same taxonomy | ||||
| City | SIMPSONVILLE |
| Zip Code | 29681 |
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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.