Basic Information
| Provider Information | |||||||||
| NPI: | 1841464443 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SADOWSKI | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 E GREENVILLE ST STE 2500 | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296211728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8642241111 | ||||||||
| FaxNumber: | 8642241109 | ||||||||
| Practice Location | |||||||||
| Address1: | 2000 E GREENVILLE ST STE 2500 | ||||||||
| Address2: | |||||||||
| City: | ANDERSON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29621 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8642241111 | ||||||||
| FaxNumber: | 8642241109 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2008 | ||||||||
| LastUpdateDate: | 11/20/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | M8305 | TX | N | Allopathic & Osteopathic Physicians | Surgery | 208C00000X | 33699 | SC | N | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | 208C00000X | 29903 | NE | Y | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery |
ID Information
| ID | Type | State | Issuer | Description | P00717088 | 01 | TX | RAILROAD MEDICARE | OTHER |