David Russel Brazzel is a Family Medicine Physician practicing in Moncks Corner, South Carolina. The National Provider Identifier (NPI) is #1912973298, which was assigned on February 27, 2006, and the registration record was last updated on January 27, 2026. The practitioner's main practice location is at 730 Stony Landing Rd Ste 100, Moncks Corner, SC 29461-2904; the contact telephone number is 8437616556, and the fax number is 8436068006. The primary taxonomy of David Russel Brazzel is Family Medicine Physician (207Q00000X). David Russel Brazzel is licensed to practice in the state of South Carolina (#85213).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
| NPI | 1912973298 |
| Entity Type | Individual |
| Provider Name | DAVID RUSSEL BRAZZEL |
| Gender | Male |
| Credential | M.D. |
| Practice Address |
730 Stony Landing Rd Ste 100 Moncks Corner SC 29461-2904 |
| Practice Telephone | 8437616556 |
| Practice Fax Number | 8436068006 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Mailing Telephone | 8884720043 |
| Mailing Fax Number | 8437242440 |
| Certification Date | 2026-01-27 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2026-01-27 |
| Is Sole Proprietor | N |
| PAC ID |
9830125525 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | DAVID RUSSEL BRAZZEL |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Primary Specialty | FAMILY PRACTICE |
| Organization Legal Name | ROPER SAINT FRANCIS PHYSICIANS NETWORK |
| Address |
1114 N Main St Summerville SC 29483-7326 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 85213 | SC |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 852134 | SC | MEDICAID |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wulff Medical Inc | 1952 N Williamson Blvd, Daytona Beach, FL 32117-5261 | Family Medicine Physician | 2026-05-08 |
| Meena R Barakam | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | Family Medicine Physician | 2026-05-07 |
| Mary Adrienne Canete | 7710 Mercy Rd, Omaha, NE 68124-2372 | Family Medicine Physician | 2026-05-08 |
| Jonathan Kuo | 1501 Red River St Fl 2, Austin, TX 78712-1845 | Family Medicine Physician | 2026-05-08 |
| Nareen Faraj Elias | 4600 Valley Rd Ste 210, Lincoln, NE 68510-4892 | Family Medicine Physician | 2026-05-08 |
| Floyd County Memorial Hospital Commission | 100 Wartburg Blvd, Waverly, IA 50677-2215 | Family Medicine Physician | 2026-05-08 |
| Michael Joseph Van Sickle | 28100 Grand River Ave Ste 313, Farmington Hills, MI 48336-5970 | Family Medicine Physician | 2026-05-08 |
| Rebekah Keasbey | 329 Conway St, Greenfield, MA 01301-1521 | Family Medicine Physician | 2026-05-08 |
| Kimberly Dana Hall | 12719 Sw 27th St, Miramar, FL 33027-3822 | Family Medicine Physician | 2026-05-09 |
| H3 Doctors Group PLLC | 5 Cherry Creek Cv, Little Rock, AR 72212-2005 | Family Medicine Physician | 2026-05-08 |
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| Street Address |
730 STONY LANDING RD STE 100 |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-2904 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Ashley Mae Ramsey | 730 Stony Landing Rd Ste 100, Moncks Corner, SC 29461-2904 | Registered Nurse | 2025-06-25 |
| Lindsey Taylor Eriksen | 730 Stony Landing Rd Ste 100, Moncks Corner, SC 29461-2904 | Physician Assistant | 2019-07-11 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Zachary Lee Kitzmiller | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 | Physician Assistant | 2019-06-29 |
| Jason Kenneth Trigiani | 730 Stony Landing Rd, Moncks Corner, SC 29461-2904 | Medical Physician Assistant | 2005-07-19 |
| Palmetto Primary Care Physicians, LLC | 730 Stony Landing Rd Ste 200, Moncks Corner, SC 29461-2904 | Family Medicine Physician | 2021-12-10 |
| Roper Saint Francis Physicians Network | 730 Stony Landing Rd Ste 104, Moncks Corner, SC 29461-2904 | Internal Medicine Physician | 2024-08-13 |
| Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 | Internal Medicine Physician | 2016-04-01 |
| Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 | Adult Reconstructive Orthopaedic Surgery Physician | 2014-11-18 |
| Rocky Mountain Holdings, LLC | 730 Stony Landing Rd, Ste 100, Sub Ste 2, Moncks Corner, SC 29461-2904 | Air Ambulance | 2016-03-07 |
| Roper Saint Francis Physicians Network | 730 Stony Landing Rd Ste 200, Moncks Corner, SC 29461-2904 | Colon & Rectal Surgery Physician | 2024-09-05 |
| Roper Saint Francis Physicians Network | 730 Stony Landing Rd, Suite 200, Moncks Corner, SC 29461-2904 | Podiatrist | 2014-11-21 |
| Rocky Mountain Holdings LLC | 730 Stony Landing Rd, Suite 100, Sub Suite 2, Moncks Corner, SC 29461-2904 | Air Ambulance | 2011-09-01 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Berkeley Citizens, Inc. | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | Public Health or Welfare Agency | 2014-01-29 |
| Amanda Nicole Petrin | 2830 Hwy 52, Ste 360, Moncks Corner, SC 29461 | General Practice Dentistry | 2022-08-01 |
| Faith Bevins | 2061 Us-52, Moncks Corner, SC 29461 | Physical Therapy Assistant | 2022-10-13 |
| Hope Snell | 100 Rembert Dennis Blvd, Moncks Corner, SC 29461 | Pharmacist | 2024-09-23 |
| Ronald Coleman Turner Jr. | 730 Stoney Landing Road, Emergency Services, Moncks Corner, SC 29461 | Emergency Medicine Physician | 2008-06-03 |
| Mary Elizabeth Perdue | 306 Airport Dr., Moncks Corner, SC 29461 | Addiction (Substance Use Disorder) Counselor | 2017-06-08 |
| Omolola Ajoke Omotoso | 110 Executive Parkway, Moncks Corner, SC 29461 | Internal Medicine Physician | 2007-08-20 |
| Jayden Olivia Weston | 421 Barony Street, Unit 3, Moncks Corner, SC 29461 | Occupational Therapist | 2024-10-24 |
| Dontrell Gourdine | 302 Abiding Way, Moncks Corner, SC 29461 | Marriage & Family Therapist | 2026-02-18 |
| Martina Snider | 393 Corner Square Plaza, Moncks Corner, SC 29461 | Prosthetics Case Management | 2017-06-15 |
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|---|---|---|---|
| Maxwell David Sheedy · Max David Sheedy | 530 S Jackson St, Louisville, KY 40202-1675 | Student in an Organized Health Care Education/Training Program | 2026-04-01 |
| David May | University of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 | Student in an Organized Health Care Education/Training Program | 2026-03-27 |
| David Awhen · David-Godwin Awhen | 2425 Texas Dr, Irving, TX 75062-7027 | Addiction (Substance Use Disorder) Counselor | 2026-03-28 |
| David Eke | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | Student in an Organized Health Care Education/Training Program | 2026-03-31 |
| David Haner Wasserstein | 111 E 210th St, Bronx, NY 10467-2401 | Student in an Organized Health Care Education/Training Program | 2026-04-07 |
| David Li | 101 County Rd 97, Stony Brook, NY 11794-0001 | Student in an Organized Health Care Education/Training Program | 2026-03-23 |
| David Eric La France · David La France | 1750 Sw Skyline Blvd Ste 201, Portland, OR 97221-2545 | Marriage & Family Therapist | 2026-03-16 |
| David Seo | 11234 Anderson St, Loma Linda, CA 92350-1716 | Student in an Organized Health Care Education/Training Program | 2026-04-09 |
| Sara Brazzel | 20300 Superior Rd Ste 250, Taylor, MI 48180-6342 | Case Manager/Care Coordinator | 2026-02-25 |
| David Greis · David Fakhry Greis | 11234 Anderson St, Loma Linda, CA 92350-1716 | Student in an Organized Health Care Education/Training Program | 2026-04-07 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |