| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COREY MICHAEL BRAMBLEY | 1083281497 | 2021-06-06 |
Corey Michael Brambley is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083281497. Registration indicates Corey Michael Brambley is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Anesthetist, Certified Registered) (Nurse Anesthetist, Certified Registered, ) (All Other Specialties & Provider Types, ) (Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Corey Michael Brambley |
| Practice Office Address | 2720 SUNSET BLVD WEST COLUMBIA, SC US |
| Practice Office Telephone | 9105470374 |
| Mailing Address | PO BOX 6069 WEST COLUMBIA, SC 291716069 US |
| Business Telephone | 8039358292 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 7 Independence Pt Ste 300 | Greenville, SC 296154569 | 8645223700 / 8645223705 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 231057
SC |
| 367500000X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered Nurse Anesthetist, Certified Registered All Other Specialties & Provider Types Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers | 26183
SC |
| PENDING | MEDICAID | SC |