Provider Demographics
NPI:1346137320
Name:BRINKLEY, BRANDI LEIGH (CST, CSFA)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:LEIGH
Last Name:BRINKLEY
Suffix:
Gender:X
Credentials:CST, CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 GRANT DR
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:SC
Mailing Address - Zip Code:29437-4316
Mailing Address - Country:US
Mailing Address - Phone:843-670-4156
Mailing Address - Fax:
Practice Address - Street 1:9330 MEDICAL PLAZA DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9104
Practice Address - Country:US
Practice Address - Phone:843-797-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC201389163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant