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MR. GLENN CLAYTON BRANTLEY FNP
NPI 1871313544
Nurse Practitioner in Columbia, SC

Active since October 16, 2024PECOS Enrolled
2435 FOREST DR, COLUMBIA, SC 29204(803) 865-4934 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Glenn Clayton Brantley Fnp NPPES

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

MR. GLENN CLAYTON BRANTLEY FNP (NPI 1871313544) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (29080) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871313544
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. GLENN CLAYTON BRANTLEYCredential: FNP
Location Address2435 FOREST DRColumbia, SC 29204-2026
Mailing Address2750 Laurel St Ste 103Columbia, SC 29204-2023
Phone(803) 865-4934
Sole ProprietorNo
Enumeration DateOctober 16, 2024
NPPES CertifiedSeptember 17, 2024
✔ NPI 1871313544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SC · 29080
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2435 FOREST DR, Columbia, SC 29204
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Glenn Clayton Brantley Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Glenn Brantley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Musc Community Physicians
49 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29204 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.

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.

PROVIDENCE HOSPITAL, LLC
General Acute Care Hospital
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
DIANNE JENKINS
Nurse Anesthetist, Certified Registered
2435 FOREST DR, 7TH FLOOR
COLUMBIA, SC 29204
Richland County (803) 454-2613
ERIK MYHRER MD
Emergency Medicine
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
JOSEPH SELIG MORSE FNP-C
Nurse Practitioner
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (864) 314-9027
HOLLY GORDON KEELS RRT
Respiratory Therapist, Registered
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
PROVIDENCE PHYSICIAN PRACTICES LLC
Radiology (Diagnostic Radiology)
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
LISA MARIE RYDER M.D.
Emergency Medicine
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 256-5300
MRS. SMITA PATEL CST
Specialist/Technologist, Other (Surgical Assistant)
2435 FOREST DR
COLUMBIA, SC 29204
Richland County (803) 638-1399

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 Glenn Brantley's NPI number?

The NPI number for Glenn Brantley is 1871313544. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Glenn Brantley located?

Glenn Brantley practices at 2435 Forest Dr, Columbia, SC 29204. The listed phone number is (803) 865-4934.

What is Glenn Brantley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Glenn Brantley enrolled in Medicare?

Yes. Glenn Brantley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Glenn Brantley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Brantley reassigns Medicare benefits to Musc Community Physicians (Bamberg, SC). The 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 Glenn Brantley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Glenn Brantley was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.