Brandie Yvette Bernagozzi, PA-C
Physician Assistant, Surgical in West Columbia, SC. Individual provider (NPI-1).
NPI number1619299708
StatusActive
Last updated in NPPESOct 13, 2020
Details
- NPI
- 1619299708
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Brandie Yvette Bernagozzi
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 17, 2010
- Certification date
- Oct 13, 2020
- Last updated
- Oct 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA 1224 | SC | Yes |
Practice location
2728 Sunset Blvd Ste 400West Columbia, SC 29169-4839
Phone 803-936-7095 · Fax 803-936-7908
Mailing address
Po Box 6069West Columbia, SC 29171-6069
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