Brandli, David William

Brandli, David William is an individual health care provider with primary practice located at 295 A Midland Parkway Ste 100, Summerville SC 29485-9171. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Brandli, David William can be contacted via phone (843) 871-5220.

Contact Information

Primary practice address
295 A Midland Parkway Ste 100 Summerville SC 29485-9171
Phone: (843) 871-5220
Fax: (843) 871-5547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 23790 South Carolina

Profile Details

NPI number 1356330260
LBN Legal business name Brandli, David William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Feb 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356330260 NPPES
South Carolina MEDICAID GP4871
South Carolina Other P00036601

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