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BRYAN J FUNKE MD, MPH
NPI 1629055298
Preventive Medicine - Aerospace Medicine in Shaw Afb, SC

Active since December 27, 2005PECOS Enrolled
420 POLIFKA DR BLDG 1042, SHAW AFB, SC 29152(803) 895-6746(803) 895-6746 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2023, Apr 25, 2018 (2 updates tracked since 2018).

About Bryan J Funke Md, Mph NPPES

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

BRYAN J FUNKE MD, MPH (NPI 1629055298) is an individual aerospace medicine provider in Shaw Afb, South Carolina, licensed in South Carolina (MD31441) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629055298
Entity TypeIndividualMale
Primary Taxonomy2083A0100X
Provider Legal NameBRYAN J FUNKECredential: MD, MPH
Location Address420 POLIFKA DR BLDG 1042Shaw Afb, SC 29152-5100
Mailing Address420 Polifka Dr Bldg 1042Shaw Afb, SC 29152-5100 · (803) 895-6746 · Fax (803) 895-6746
Phone(803) 895-6746
Fax(803) 895-6746
Sole ProprietorNo
Enumeration DateDecember 27, 2005
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1629055298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
License✔ Licensed in SC · MD31441
Definition
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License MD31441 (SC)
420 POLIFKA DR BLDG 1042, Shaw Afb, SC 29152
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan J Funke Md, Mph 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 29152 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
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.

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.

DANIEL BRYCE PETERSEN D.M.D.
Dentist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6951
CODY K DARRINGTON DO
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-2273
REBECCA SARAH SLOGIC M.D.
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6356
DR. ANGELIQUE STACEY ANN FORRESTER MD
Family Medicine
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (038) 956-2458
DR. JEFFREY ALLAN BANKS M.D.
Pediatrics
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6356
JOHN ALAN BARNETT RPH
Pharmacist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6464
MR. BRIAN E. GRAY D.P.T.
Physical Therapist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 728-0421
CHARLENE UBAH OD
Optometrist
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152
Sumter County (803) 895-6579

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 Bryan Funke's NPI number?

The NPI number for Bryan Funke is 1629055298. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Bryan Funke located?

Bryan Funke practices at 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152. The listed phone number is (803) 895-6746.

What is Bryan Funke's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Is Bryan Funke enrolled in Medicare?

Yes. Bryan Funke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Funke was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.