PEGGY LOREE BRAZELL NP NPI 1841247244

NPI Information

  • NPI: 1841247244
  • Provider Name: PEGGY LOREE BRAZELL, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 255 ENTERPRISE BLVD
    SUITE 101
    GREENVILLE, SC
    ZIP 29615
  • Phone: (864) 454-8120

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NPI Details

Peggy Loree Brazell, NP is a gerontology nurse practitioner in Greenville, SC. Peggy Loree Brazell, NP NPI is 1841247244. 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:

255 ENTERPRISE BLVD
SUITE 101
GREENVILLE, SC
ZIP 29615-300
Phone: (864) 454-8120
Fax: (864) 454-8125

The NPI 1841247244 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 1/26/2018.

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
1363LG0600XNurse PractitionerGerontology3023SOUTH CAROLINAYes

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
1NP1046MEDICAIDSOUTH 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: 11/21/2025

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