MRS. STEPHANIE CAROL BRUNDAGE MD
NPI 1578648283
Family Medicine in Greenville, SC

Active since October 25, 2006
130 MALLARD ST, GREENVILLE, SC 29601(864) 233-1534(864) 751-6020 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Stephanie Carol Brundage Md NPPES

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

MRS. STEPHANIE CAROL BRUNDAGE MD (NPI 1578648283) is an individual family medicine provider in Greenville, South Carolina, licensed in South Carolina (14338) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1578648283
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. STEPHANIE CAROL BRUNDAGECredential: MD
Location Address130 MALLARD STGreenville, SC 29601-4046
Mailing Address130 Mallard StGreenville, SC 29601-4046 · (864) 233-1534 · Fax (864) 751-6020
Fax(864) 751-6020
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1578648283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 14338
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
130 MALLARD ST, Greenville, SC 29601

Other Identifiers 1

Medicare UPINE35950SC

Other Providers at the Same Location NPPES 19

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

Allergy & Immunology (Allergy)
130 MALLARD ST
GREENVILLE, SC 29601
Nurse Practitioner (Family)
130 MALLARD ST
GREENVILLE, SC 29601
Clinic/Center (Federally Qualified Health Center (FQHC))
130 MALLARD ST
GREENVILLE, SC 29601
Nurse Practitioner (Family)
130 MALLARD ST
GREENVILLE, SC 29601
Pharmacy (Community/Retail Pharmacy)
130 MALLARD ST
GREENVILLE, SC 29601
Clinic/Center (Federally Qualified Health Center (FQHC))
130 MALLARD ST
GREENVILLE, SC 29601
Pharmacist
130 MALLARD ST
GREENVILLE, SC 29601
Pharmacist
130 MALLARD ST
GREENVILLE, SC 29601

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 Stephanie Brundage's NPI number?

The NPI number for Stephanie Brundage is 1578648283. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Stephanie Brundage located?

Stephanie Brundage practices at 130 Mallard St, Greenville, SC 29601. The listed phone number is (864) 233-1534.

What is Stephanie Brundage's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Brundage was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.