Healthcare Provider Details

I. General information

NPI: 1548757685
Provider Name (Legal Business Name): BRIAN SANCHEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2018
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1656 RIVERCHASE BLVD STE 2400
ROCK HILL SC
29732-0271
US

IV. Provider business mailing address

1656 RIVERCHASE BLVD STE 2400
ROCK HILL SC
29732-0271
US

V. Phone/Fax

Practice location:
  • Phone: 803-329-5131
  • Fax: 803-366-6600
Mailing address:
  • Phone: 803-329-5131
  • Fax: 803-366-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.146974
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: