MEDICARE: MR. BRIAN PAUL KNIGHT PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	3823	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902819600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN PAUL KNIGHT PT

Provider Business Mailing Address
First Line	:	515 BUNCOMBE ST
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-1905
Country	:	US
Telephone Number	:	864-322-1025
Fax Number	:	866-231-9826

Provider Business Practice Location Address
First Line	:	515 BUNCOMBE ST
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-1905
Country	:	US
Telephone Number	:	864-322-1025
Fax Number	:	866-231-9826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	01/22/2010

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