Individual provider · Type 1 NPI

Brandie Yvette Bernagozzi, PA-C

Surgical Physician Assistant · West Columbia, SC

NPI number 1619299708 Active

Practice location

2728 Sunset Blvd Ste 400
West Columbia, SC 29169-4839

Fax (803) 936-7908

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA 1224 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1619299708

Brandie Yvette Bernagozzi, PA-C's National Provider Identifier is 1619299708, issued on Feb 17, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Columbia, SC. The record was last updated on Oct 13, 2020.