BRIANNA JULIA STARR NPI 1639712482

NPI Information

NPI: 1639712482
Provider Name: BRIANNA JULIA STARR
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ORLANDO HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1403 E GREENVILLE ST STE B
ANDERSON, SC
ZIP 29621
Phone: (864) 540-8025
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Brianna Julia Starr is a medical physician assistant in Anderson, SC with 4 years of experience. Brianna Julia Starr NPI is 1639712482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1403 E GREENVILLE ST STE B
ANDERSON, SC
ZIP 29621-285
Phone: (864) 540-8025
Fax: (864) 540-8027

The NPI 1639712482 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2019 and was last updated on 11/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	3597	SOUTH CAROLINA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4321PA	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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