Provider Demographics
NPI:1881891059
Name:YEE, BRIAN SCOTT (DO)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SCOTT
Last Name:YEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421718
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29442-4203
Mailing Address - Country:US
Mailing Address - Phone:843-652-8226
Mailing Address - Fax:
Practice Address - Street 1:4040 HIGHWAY 17 UNIT 104
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576
Practice Address - Country:US
Practice Address - Phone:843-652-8260
Practice Address - Fax:843-652-8269
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203023207LP2900X
WVDO -2249207LP2900X
SC51991207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1831116375OtherUNITED HEALTHCARE
WV9296571OtherMEDICARE GROUP
WV1831116375OtherHEALTHPLAN
WV1831116375OtherCOVENTRY/CARELINK
VAB596OtherMEDICARE GROUP
WV1831116375OtherUSDOL
1831116375OtherCIGNA
WV1831116375OtherSELECTNET
VAP01146109OtherRAILROAD MEDICARE
WV1831116375OtherUMWA
WV3810024850Medicaid
SC519914Medicaid
WV1831116375OtherCOMPNET
WV1831116375OtherWELLS FARGO (PEIA)
WV1831116375OtherHEATLHNET/TRICARE
WV0011253000OtherMEDICAID GROUP
WV1831116375OtherHIGHMARK OF WV
WVP00999253OtherRAILROAD MEDICARE
WV1831116375OtherHEATLHNET/TRICARE