Provider Demographics
NPI:1265400246
Name:LECHER, BRIAN (PC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:LECHER
Suffix:
Gender:M
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 DECLARATION BLVD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-8139
Mailing Address - Country:US
Mailing Address - Phone:803-905-3278
Mailing Address - Fax:803-905-3282
Practice Address - Street 1:3440 DECLARATION BLVD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29154-8139
Practice Address - Country:US
Practice Address - Phone:803-905-3278
Practice Address - Fax:803-905-3282
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDO793207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCH334988286OtherMEDICARE PROVIDER ID #
SCP00224099OtherRAILROAD MEDICARE
SC200071983OtherEIN
SCP00224099OtherRAILROAD MEDICARE
SC5568090001Medicare NSC
SC8286Medicare PIN