Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bralyn Bennett Jr., PA-C

Individual provider Physician Assistant · NPI 1669145249

Mr. Bralyn Bennett Jr., PA-C is a Physician Assistant in Myrtle Beach, South Carolina. Qualified in 2020, 6 years ago. Practices with Waccamaw Dermatology LLC, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Licensed in
SC
In the registry since
2021
Specialties on file
2
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

5046 Highway 17 Byp S Ste 200
Myrtle Beach, SC 29588-4503
Phone: (843) 839-3501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8170 Rourk St Ste 100, Myrtle Beach, SC 29572-4127 — (843) 449-0453

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 3837 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 3837 (SC)

Record details

NPI number1669145249
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2021
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Waccamaw Dermatology Llc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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