Basic Information
| Provider Information | |||||||||
| NPI: | 1881891059 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YEE | ||||||||
| FirstName: | BRIAN | ||||||||
| MiddleName: | SCOTT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 421718 | ||||||||
| Address2: | |||||||||
| City: | GEORGETOWN | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294424203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8436528226 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4040 HIGHWAY 17 UNIT 104 | ||||||||
| Address2: | |||||||||
| City: | MURRELLS INLET | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8436528260 | ||||||||
| FaxNumber: | 8436528269 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2007 | ||||||||
| LastUpdateDate: | 03/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 03/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | 0102203023 | VA | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207LP2900X | DO -2249 | WV | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207LP2900X | 51991 | SC | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1831116375 | 01 | WV | UNITED HEALTHCARE | OTHER | 9296571 | 01 | WV | MEDICARE GROUP | OTHER | 1831116375 | 01 | WV | HEALTHPLAN | OTHER | 1831116375 | 01 | WV | COVENTRY/CARELINK | OTHER | B596 | 01 | VA | MEDICARE GROUP | OTHER | 1831116375 | 01 | WV | USDOL | OTHER | 1831116375 | 01 | CIGNA | OTHER | 1831116375 | 01 | WV | SELECTNET | OTHER | P01146109 | 01 | VA | RAILROAD MEDICARE | OTHER | 1831116375 | 01 | WV | UMWA | OTHER | 3810024850 | 05 | WV | MEDICAID | 519914 | 05 | SC | MEDICAID | 1831116375 | 01 | WV | COMPNET | OTHER | 1831116375 | 01 | WV | WELLS FARGO (PEIA) | OTHER | 1831116375 | 01 | WV | HEATLHNET/TRICARE | OTHER | 0011253000 | 01 | WV | MEDICAID GROUP | OTHER | 1831116375 | 01 | WV | HIGHMARK OF WV | OTHER | P00999253 | 01 | WV | RAILROAD MEDICARE | OTHER |