Brooke Scupp
Brooke Scupp is a Physician Assistant in Irmo, South Carolina. Qualified in 2021, 5 years ago. Practices with Pain Clinic Associates PLLC, a 10-clinician group and accepts Medicare assignment.
- Years since qualifying
- 5
- In the registry since
- 2021
Practice location Address checks out
473 Woodhouse LoopIrmo, SC 29063-7781
Phone: (803) 422-3754
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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 |
|---|
Record details
| NPI number | 1093309668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 24, 2021 |
| Last updated in NPPES | February 24, 2021 |
| Certification date | February 6, 2021 |
| Mailing address | 473 Woodhouse Loop, Irmo, SC 29063-7781 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Pain Clinic Associates Pllc — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Irmo
-
John Eric Ashton, PA-C
7182 Woodrow St Ste 200, Irmo, SC 29063-2958 · (803) 749-1111
-
Virginia Elizabeth Hyatt, PA-C
1846 Dutch Fork Rd, Irmo, SC 29063 · (803) 781-5200
-
Lisa Creswell Myrick, PA
7182 Woodrow St Ste 200, Irmo, SC 29063-2832 · (803) 749-1111
-
Mrs. Cassandra Nicole Parra-Ferro, PA-C
1 Wellness Blvd Ste 200, Irmo, SC 29063-2871 · (803) 749-1111