Provider Demographics
NPI:1942228127
Name:MURPHY, BRENDAN BURKE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:BURKE
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1439 STUART ENGALS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3305
Mailing Address - Country:US
Mailing Address - Phone:843-853-7730
Mailing Address - Fax:843-722-8766
Practice Address - Street 1:1439 STUART ENGALS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3305
Practice Address - Country:US
Practice Address - Phone:843-853-7730
Practice Address - Fax:843-722-8766
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC28720208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCH85626Medicare UPIN