1. Home
  2. Directory
  3. South Carolina
  4. Conway
  5. Nurse Practitioner
  6. NPI Profile

BRONWYN DOUGHERTY
NPI 1376059543
Nurse Practitioner - Family in Conway, SC

Active since December 23, 2017PECOS EnrolledAccepts Medicare Assignment
74.51/100
CMS Quality Rating
300 SINGLETON RIDGE RD, CONWAY, SC 29526(843) 347-7111 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2021, Dec 23, 2017 (2 updates tracked since 2017).

About Bronwyn Dougherty NPPES

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

BRONWYN DOUGHERTY (NPI 1376059543) is an individual family provider in Conway, South Carolina, licensed in South Carolina (21624) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Tidelands Waccamaw Community Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376059543
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRONWYN DOUGHERTY
Location Address300 SINGLETON RIDGE RDConway, SC 29526-9142
Mailing Address300 Singleton Ridge RdConway, SC 29526-9142
Phone(843) 347-7111
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 23, 2017
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1376059543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 21624
Also ListedRegistered NurseTaxonomy 163W00000X · License 99222 (SC)
300 SINGLETON RIDGE RD, Conway, SC 29526
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bronwyn Dougherty is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981968443
PECOS Enrollment IDI20180509000518
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Bronwyn Dougherty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ch Specialty Services Sc LLC
84 mi
Family
6650 RIVERS AVE
North Charleston, SC 29406
  • Reassigned Medicare billing, South Carolina enrollment
  • 338 clinicians in this Medicare group
NPI 1275915522 (337) 991-9276
Curana Health Of South Carolina PC
86 mi
Internal Medicine
2375 BAKER HOSPITAL BLVD
North Charleston, SC 29405
  • Reassigned Medicare billing, South Carolina enrollment
  • 409 clinicians in this Medicare group
NPI 1316477896 (337) 991-9276
Hospital Physician Services - Southeast Professional Corporation
273 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, South Carolina enrollment
  • 311 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
171 services45 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
153 services54 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
30 services30 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
18 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29526 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
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.03
Promoting Interoperability100
Improvement Activities40
Cost19.35

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$52.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CLINIC SERVICES OF SOUTH CAROLINA PC
Hospitalist
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-7111
ISABELLA JIMENEZ
Registered Nurse
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-7111
KAYLEA HORACEK DO
Student in an Organized Health Care Education/Training Program
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 234-7405
DR. ALLEN E SMOLENSKI MD
Emergency Medicine
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8015
TAWSIF NADIR DO
Family Medicine
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-8134
MR. SETH WINEGAR RN
Registered Nurse
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 234-8575
EILEEN BROWN CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-7111
MRS. PATTY JOHNSON REIS CRNA
Nurse Anesthetist, Certified Registered
300 SINGLETON RIDGE RD
CONWAY, SC 29526
Horry County (843) 347-7111

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 Bronwyn Dougherty's NPI number?

The NPI number for Bronwyn Dougherty is 1376059543. It was assigned to this individual provider in the NPPES registry on December 23, 2017.

Where is Bronwyn Dougherty located?

Bronwyn Dougherty practices at 300 Singleton Ridge Rd, Conway, SC 29526. The listed phone number is (843) 347-7111.

What is Bronwyn Dougherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bronwyn Dougherty enrolled in Medicare?

Yes. Bronwyn Dougherty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bronwyn Dougherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bronwyn Dougherty reassigns Medicare benefits to 3 organizations: Ch Specialty Services Sc LLC (North Charleston, SC), Curana Health Of South Carolina PC (North Charleston, SC) and Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bronwyn Dougherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Bronwyn Dougherty affiliated with any hospitals?

According to CMS data, Bronwyn Dougherty is affiliated with Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for Bronwyn Dougherty was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.