Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian R Obenza, PA-C

Individual provider Medical Physician Assistant · NPI 1053613786

Brian R Obenza, PA-C is a Medical Physician Assistant in Mt Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

180 Wingo Way Ste 204
Mt Pleasant, SC 29464-1810
Phone: (843) 534-1770
Fax: (843) 534-1767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence TL1599 (SC)

Record details

NPI number1053613786
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2010
Last updated in NPPESDecember 1, 2010

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