BRADLEY D BURGESS M.A..
NPI 1730480971
Counselor - Professional in Society Hill, SC

Q: What is Bradley Burgess's NPI number?

The NPI number for Bradley Burgess is 1730480971. It was assigned to this individual provider in the NPPES registry on November 4, 2010.

Q: What is Bradley Burgess's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Burgess was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 04, 2010PECOS EnrolledAccepts Medicare Assignment

737 S MAIN ST, SOCIETY HILL, SC 29593(843) 378-4501(843) 378-4209 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bradley D Burgess M.a.. NPPES

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

BRADLEY D BURGESS M.A.. (NPI 1730480971) is an individual professional provider in Society Hill, South Carolina, licensed in South Carolina (6071) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1730480971

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameBRADLEY D BURGESSCredential: M.A..

Location Address737 S MAIN STSociety Hill, SC 29593-8972

Mailing AddressPo Box 1090Hartsville, SC 29551-1090 · (843) 857-0111 · Fax (843) 857-0206

Phone(843) 378-4501

Fax(843) 378-4209

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateNovember 4, 2010

Last NPPES UpdateSeptember 13, 2017

✔ NPI 1730480971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SC · 6071

Also ListedCounselorTaxonomy 101Y00000X · License 6071 (SC)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6071 (SC)

737 S MAIN ST, Society Hill, SC 29593

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Other Identifiers 1

MedicaidPC1532SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley D Burgess M.a.. 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 ID1951619667

PECOS Enrollment IDI20240227002622

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.

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.

MAE E JESNECK DDS, LCSW

Dentist (General Practice)