MR. BRENT AUSTIN HARRIS AGACNP-C NPI 1780169276

NPI Information

  • NPI: 1780169276
  • Provider Name: MR. BRENT AUSTIN HARRIS, AGACNP-C
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3523 PELHAM RD
    SUITE C
    GREENVILLE, SC
    ZIP 29615
  • Phone: (864) 306-0966

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NPI Details

MR. Brent Austin Harris, AGACNP-C is an acute care nurse practitioner in Greenville, SC. MR. Brent Austin Harris, AGACNP-C NPI is 1780169276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3523 PELHAM RD
SUITE C
GREENVILLE, SC
ZIP 29615-191
Phone: (864) 306-0966
Fax: (864) 306-0966

The NPI 1780169276 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 10/1/2018 and was last updated on 12/23/2021.

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
1363LA2100XNurse PractitionerAcute Care22267SOUTH CAROLINAYes

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: 3/30/2025

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