Dr. Justin Gerard Brothers
Adult Reconstructive Orthopaedic Surgeon
210 Village Center Blvd Suite 200
Myrtle Beach
, South Carolina 29579-6706
Dr. Justin Gerard Brothers
Adult Reconstructive Orthopaedic Surgeon
210 Village Center Blvd Suite 200
Myrtle Beach
, South Carolina 29579-6706
(843) 236-3005
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Justin Gerard Brothers
- 210 Village Center Blvd Suite 200
- Myrtle Beach, SC
- Zip : 29579-6706
- Fax : (843) 236-3005
- Phone : (843) 236-3222
Second Address
- Dr. Justin Gerard Brothers
- 210 Village Center Blvd Suite 200
- Myrtle Beach, SC
- Zip : 29579-6706
- Fax : (843) 236-3005
- Phone : (843) 236-3222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | TL39293 | SC |
National Provider Identifier
| NPI | 1285946269 |
|---|---|
| Provider Name | Dr. Justin Gerard Brothers |
| First Address | Myrtle Beach, SC 29579-6706 |
| Second Address | Myrtle Beach, SC 29579-6706 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2010 |
| Last Update Date | 16/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 39293 | MEDICAL LICENSE (01) | SC |
| 392934 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.