Brightbill, Keith Eric

Brightbill, Keith Eric is an individual health care provider with primary practice located at 111 W Hospital Dr , West Columbia SC 29169-3405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Brightbill, Keith Eric can be contacted via phone (803) 796-8515.

Contact Information

Primary practice address
111 W Hospital Dr West Columbia SC 29169-3405
Phone: (803) 796-8515
Fax: (803) 796-8516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 29884 South Carolina

Profile Details

NPI number 1104049980
LBN Legal business name Brightbill, Keith Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated May 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104049980 NPPES
South Carolina MEDICAID 298840

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