| Forefront-brandt Medical Services Pc | |
|
2 Office Park Ct Ste 103 Columbia SC 29223-5948 | |
| (609) 480-3109 | |
| (888) 972-2903 |
| Full Name | Forefront-brandt Medical Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2 Office Park Ct Ste 103, Columbia, South Carolina |
| Authorized Official Name and Position | Douglas Brandt (OWNER/CEO) |
| Authorized Official Contact | 8604609312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forefront-brandt Medical Services Pc 1717 Main St Ste 5850 Dallas TX 75201-7317 Ph: (866) 959-2008 | Forefront-brandt Medical Services Pc 2 Office Park Ct Ste 103 Columbia SC 29223-5948 Ph: (609) 480-3109 |
| NPI Number | 1407461080 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 4385057991 |
|---|---|
| Medicare Enrollment ID | O20201228001816 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407461080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert C Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20130205000592 |
| Provider Name | Sparkle Toland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801228895 PECOS PAC ID: 8729215116 Enrollment ID: I20131210000779 |
| Provider Name | Gregory Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699253294 PECOS PAC ID: 4789937103 Enrollment ID: I20181031002089 |
| Provider Name | Douglas M Brandt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487742243 PECOS PAC ID: 5597845610 Enrollment ID: I20190410002778 |
| Provider Name | Gina Pitocchelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366886426 PECOS PAC ID: 3173753886 Enrollment ID: I20210107002122 |
Kreative Counseling Enrichment Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 N Beltline Blvd, Columbia, SC 29204 Phone: 803-261-1621 | |
Counseling & Consulting Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Outlet Pointe Blvd, Columbia, SC 29210 Phone: 803-772-6540 Fax: 803-772-6540 | |
Epworth Children's Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Millwood Ave, Columbia, SC 29205 Phone: 803-212-4793 Fax: 803-212-4287 | |
North Carolina Mentor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Saint Julian Pl Ste 200, Columbia, SC 29204 Phone: 800-388-5150 | |
Latoya Brooks-key, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9600 Two Notch Rd Ste 5, Columbia, SC 29223 Phone: 803-939-6680 | |
Infinite Solutions Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Main St Ste 1980, Columbia, SC 29201 Phone: 803-319-0910 Fax: 803-403-0337 | |
Equilibrium Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Gervais St, Ste 150-258, Columbia, SC 29201 Phone: 803-361-3066 Fax: 866-834-4286 |