1. Home
  2. Directory
  3. South Carolina
  4. Orangeburg
  5. Dentist
  6. NPI Profile

DR. RANDOLPH CHARLES BRYSON D.M.D.
NPI 1043457799
Dentist - General Practice in Orangeburg, SC

Active since January 17, 2009PECOS Enrolled
1350 GROVE PARK DR, ORANGEBURG, SC 29115(803) 387-0682 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Randolph Charles Bryson D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDOLPH CHARLES BRYSON D.M.D. (NPI 1043457799) is an individual general practice provider in Orangeburg, South Carolina, licensed in South Carolina (9218) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1043457799
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RANDOLPH CHARLES BRYSONCredential: D.M.D.
Location Address1350 GROVE PARK DROrangeburg, SC 29115-2455
Mailing Address123 Wicklow DrBluffton, SC 29910-7329 · (215) 813-0819
Phone(803) 387-0682
Sole ProprietorNo
Enumeration DateJanuary 17, 2009
Last NPPES UpdateNovember 6, 2018
✔ NPI 1043457799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in SC · 9218✔ Licensed in NV · 4977
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1350 GROVE PARK DR, Orangeburg, SC 29115
Open in Google Maps ↗

Secondary Practice Location 1

Location 11781 Village Center Cir, Suite 110Las Vegas, NV 89134-0572 · Phone (702) 445-7075

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randolph Charles Bryson D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KOOL SMILES SC-2, PC
Dentist (General Practice)
1350 GROVE PARK DR
ORANGEBURG, SC 29115
Orangeburg County (770) 916-9000
DR. MINATULLAH MOUSA
Dentist (General Practice)
1350 GROVE PARK DR
ORANGEBURG, SC 29115
Orangeburg County (803) 855-0726
DR. RYAN JAMES HERALD DDS
Dentist (General Practice)
1350 GROVE PARK DR
ORANGEBURG, SC 29115
Orangeburg County (866) 755-0535
CAROLINE RUSSELL CARMICHAEL
Dentist (General Practice)
1350 GROVE PARK DR
ORANGEBURG, SC 29115
Orangeburg County (803) 855-0726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Bryson's NPI number?

The NPI number for Randolph Bryson is 1043457799. It was assigned to this individual provider in the NPPES registry on January 17, 2009.

Where is Randolph Bryson located?

Randolph Bryson practices at 1350 Grove Park Dr, Orangeburg, SC 29115. The listed phone number is (803) 387-0682.

What is Randolph Bryson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Randolph Bryson enrolled in Medicare?

Yes. Randolph Bryson is registered in the Medicare PECOS enrollment system.

What insurance does Randolph Bryson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Randolph Bryson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randolph Bryson was last updated on November 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.