Provider Demographics
NPI:1497740476
Name:BRITTAIN, ERIC STEWART (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:STEWART
Last Name:BRITTAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 EVIAN WAY
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-9261
Mailing Address - Country:US
Mailing Address - Phone:843-860-7703
Mailing Address - Fax:
Practice Address - Street 1:9330 MEDICAL PLAZA DR
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9104
Practice Address - Country:US
Practice Address - Phone:843-847-4946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23828207PE0005X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00297824OtherRAILROAD MEDICARE
AL009935887Medicaid
AL051001055OtherBCBS PROVIDER NUMBER
AL051556514Medicaid
SC238282Medicaid
AL7111688OtherAETNA
AL7111688OtherAETNA
SCP00677285Medicare PIN
SCAA05872986Medicare PIN
AL051556514Medicaid
SC238282Medicaid