Shirley, Brayton Robert

Shirley, Brayton Robert is an individual health care provider with primary practice located at 315 Medical Pkwy Suite 100, Greer SC 29650-2456. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shirley, Brayton Robert can be contacted via phone (864) 454-7422.

Contact Information

Primary practice address
315 Medical Pkwy Suite 100 Greer SC 29650-2456
Phone: (864) 454-7422
Fax: (864) 797-9701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 22064 South Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 22064 South Carolina

Profile Details

NPI number 1205890555
LBN Legal business name Shirley, Brayton Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated May 12th, 2021 - about 3 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 1205890555 NPPES
South Carolina Other 576007863158 BCBS OF SC
South Carolina MEDICAID 220647 BCBS OF SC
South Carolina Other P00699132 BCBS OF SC

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