Shirley, Brayton Robert
Shirley, Brayton Robert is an individual health care provider with primary practice located at 315 Medical Pkwy Suite 100, Greer SC 29650-2456. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shirley, Brayton Robert can be contacted via phone (864) 454-7422.Contact Information
Primary practice address
315 Medical Pkwy Suite 100
Greer SC 29650-2456
Phone: (864) 454-7422
Fax: (864) 797-9701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 22064 | South Carolina |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 22064 | South Carolina |
Profile Details
| NPI number | 1205890555 |
|---|---|
| LBN Legal business name | Shirley, Brayton Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | May 12th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205890555 | NPPES |
| South Carolina | Other | 576007863158 | BCBS OF SC |
| South Carolina | MEDICAID | 220647 | BCBS OF SC |
| South Carolina | Other | P00699132 | BCBS OF SC |
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