Brian D. Forbus
Physician Assistant (Medical)

Address: 2376 Cypress Cir Ste 300, Conway, SC 29526-8995
Phone: 8433477222

Brian D. Forbus (NPI# 1225103302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1225103302
Entity Type Individual
Full Name Brian D. Forbus
Credential PA-C
Gender Male
Practice Address 2376 Cypress Cir Ste 300
Conway
SC 29526-8995
Practice Telephone 8433477222
Practice Fax Number 8433473305
Mailing Address 2376 Cypress Cir Ste 300
Conway
SC 29526-8995
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-11-22
Last Update Date 2014-11-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers A773 SC

Other Provider Identifier

State Identifier Issuer Type Code
SC 0060PA MEDICAID
SC P00803331 OTHER RAILROAD MEDICARE-RSFPN

Physician Overview

NPI 1225103302
PAC ID by PECOS 8527115252
Professional Enrollment ID I20090414000709
Full Name Brian D Forbus
Organization Legal Name PHYSICIANS AT HOME PC
Phone Number 4135637534
Gender M
Medical School UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year 2002
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 2365661543
Number of Group Practice Members 13
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420085 GRAND STRAND REGIONAL MEDICAL CENTER

Office Location

Street Address 2376 CYPRESS CIR STE 300
City CONWAY
State SC
Zip Code 29526-8995

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003986514 William L. Mills Orthopaedic Surgery 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2006-11-09
1669973517 Orthosc LLC Orthopaedic Surgery 2376 Cypress Cir Ste 300, Conway, SC 29526 2018-02-26
1336662964 Michael Brent Graham Student in an Organized Health Care Education/Training Program 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2017-07-25
1639572266 Steven Lopresto Physician Assistant 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2014-09-26
1235302969 Erkan Alci Orthopaedic Surgery 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2008-04-02
1023212024 John Christopher Gayton Student in an Organized Health Care Education/Training Program 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2007-06-13
1033278049 Keith C Reinwald Physician Assistant 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2006-12-06
1043385123 Douglas T. Vick Physician Assistant 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2006-11-22
1306910526 Arthur J Preslar IIi Orthopaedic Surgery 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2006-11-20
1962573352 Jack S Haskin Jr. Orthopaedic Surgery 2376 Cypress Cir Ste 300, Conway, SC 29526-8995 2006-11-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851800817 Katherine Ann Nimphius Behavior Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1073031449 Alice Ruth Carter Nurse Practitioner 251 University Blvd, Conway, SC 29526 2017-09-06
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
1760858278 Ashonda Bellamy Wilson Registered Nurse 1921 Industrial Park Rd, Conway, SC 29526 2015-08-19
1104220433 Diana L Taylor Nurse Practitioner 140 Professional Park Drive, Conway, SC 29526 2014-10-15
1376806786 Andressa Oliveira Martins Specialist/Technologist 935 One Landon Loop, Coastal Carolina University, Conway, SC 29526 2012-06-20
1730441858 Southern Urgent Transport LLC Ambulance 216 Labonte St., Suite D, Conway, SC 29526 2012-06-14
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639641947 Molly M Koch Physician Assistant 812 Oak St, Conway, AR 72032-4408 2018-12-27
1407342116 Thrive Essential Wellness, Inc. Physician Assistant 1511 9th Ave Ste A, Conway, SC 29526-4126 2018-07-05
1558561431 Jayme Mayo Physician Assistant 612 Garland St, Conway, AR 72032-4418 2007-07-19
1942671730 Courtney Layne Mosley Physician Assistant 2302 College Ave, Conway, AR 72034-6297 2015-10-19
1316338684 Alexandra Savenka Physician Assistant 1014 Harkrider St, Suite B, Conway, AR 72032-4404 2015-02-09
1326468059 Savannah Bradbury Physician Assistant 550 Club Ln, Suite1, Conway, AR 72034-3681 2014-04-21
1831526615 Ashley Allen Physician Assistant 1014 Harkrider St, Suite B, Conway, AR 72032-4404 2013-10-11
1588903694 Cecilia Mai Reyes Physician Assistant 1014 Harkrider St Ste B, Conway, AR 72032-4471 2013-02-08
1467779868 Kristin Bland Richardson Physician Assistant 300 Singleton Ridge Rd, Conway, SC 29526-9142 2010-04-23
1568796944 Sarah M Vo Physician Assistant 300 Singleton Ridge Rd, Teamhealth Office, Conway, SC 29526-9142 2009-10-01
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Competitor

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City CONWAY
Zip Code 29526

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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