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BRIAN R OBENZA PA-C
NPI 1053613786
Physician Assistant - Medical in Mt Pleasant, SC

Active since December 01, 2010
180 WINGO WAY, SUITE 204, MT PLEASANT, SC 29464(843) 534-1770(843) 534-1767 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brian R Obenza Pa-c NPPES

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

BRIAN R OBENZA PA-C (NPI 1053613786) is an individual medical provider in Mt Pleasant, South Carolina, licensed in South Carolina (TL1599) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1053613786
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRIAN R OBENZACredential: PA-C
Location Address180 WINGO WAY, SUITE 204Mt Pleasant, SC 29464-1810
Mailing Address180 Wingo Way, Suite 204Mt Pleasant, SC 29464-1810 · (843) 534-1770 · Fax (843) 534-1767
Phone(843) 534-1770
Fax(843) 534-1767
Sole ProprietorNo
Enumeration DateDecember 1, 2010
✔ NPI 1053613786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · TL1599
180 WINGO WAY, Mt Pleasant, SC 29464
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Other Providers at the Same Location NPPES 20

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

DR. MICHAEL MIKOLA MD
Internal Medicine
180 WINGO WAY, STSE 306
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
MR. MARK S PRINCIPE PA-C
Physician Assistant (Medical)
180 WINGO WAY, SUITE 304
MT PLEASANT, SC 29464
Charleston County (843) 884-8045
CHARLESTON CANCER CENTER
Internal Medicine (Hematology & Oncology)
180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464
Charleston County (843) 572-9211
MR. JESSE WILLIAM PRICE III PA-C
Physician Assistant (Medical)
180 WINGO WAY, SUITE 306
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
MRS. NICOLE PERRIN KETCHIN PAC
Physician Assistant (Medical)
180 WINGO WAY, SUITE 307
MT PLEASANT, SC 29464
Charleston County (843) 884-1777
CAROLINA AESTHETIC PLASTIC SURGERY INSTITUTE PA
Surgery (Plastic and Reconstructive Surgery)
180 WINGO WAY, SUITE 205
MT PLEASANT, SC 29464
Charleston County (843) 884-1400
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Surgery
180 WINGO WAY, SUITE 308
MT PLEASANT, SC 29464
Charleston County (843) 881-2423
ROPER SAINT FRANCIS PHYSICIANS NETWORK
Internal Medicine
180 WINGO WAY, SUITE 308
MT PLEASANT, SC 29464
Charleston County (843) 212-8066

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 Brian Obenza's NPI number?

The NPI number for Brian Obenza is 1053613786. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Where is Brian Obenza located?

Brian Obenza practices at 180 Wingo Way Suite 204, Mt Pleasant, SC 29464. The listed phone number is (843) 534-1770.

What is Brian Obenza's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Brian Obenza was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.