Fisher, Brent Edward

Fisher, Brent Edward is an individual health care provider with primary practice located at 905 Verdae Blvd Ste 101 , Greenville SC 29607-4098. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Fisher, Brent Edward can be contacted via phone (864) 286-7550.

Contact Information

Primary practice address
905 Verdae Blvd Ste 101 Greenville SC 29607-4098
Phone: (864) 286-7550
Fax: (864) 286-7551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2015-02102 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2015-02102 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 32805 South Carolina

Profile Details

NPI number 1215256839
LBN Legal business name Fisher, Brent Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2010
Last updated Feb 10th, 2023 - about 2 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 1215256839 NPPES
South Carolina MEDICAID 328050

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