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DR. BRIAN R DERRICK D.M.D
NPI 1063566396
Dentist - General Practice in Greenville, SC

Active since January 23, 2007PECOS Enrolled
104 N MAIN ST, GREENVILLE, SC 29601(864) 243-8371(864) 243-8374 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian R Derrick D.m.d NPPES

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

DR. BRIAN R DERRICK D.M.D (NPI 1063566396) is an individual general practice provider in Greenville, South Carolina, licensed in South Carolina (SC3949) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063566396
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN R DERRICKCredential: D.M.D
Location Address104 N MAIN STGreenville, SC 29601-2721
Mailing Address104 N Main StGreenville, SC 29601-2721 · (864) 243-8371 · Fax (864) 243-8374
Phone(864) 243-8371
Fax(864) 243-8374
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMay 23, 2008
✔ NPI 1063566396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · SC3949
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.
104 N MAIN ST, Greenville, SC 29601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Brian R Derrick 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 29601 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

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

FALLS PARK DENTISTRY
Dentist (General Practice)
104 N MAIN ST
GREENVILLE, SC 29601
Greenville County (864) 243-8371

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 Derrick's NPI number?

The NPI number for Brian Derrick is 1063566396. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Brian Derrick located?

Brian Derrick practices at 104 N Main St, Greenville, SC 29601. The listed phone number is (864) 243-8371.

What is Brian Derrick's specialty?

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

Is Brian Derrick enrolled in Medicare?

Yes. Brian Derrick is registered in the Medicare PECOS enrollment system.

What insurance does Brian Derrick accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of South Carolina and 1 other insurer list Brian Derrick 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 Brian Derrick was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.