IndividualActive
Brae Dewalt
NPI 1609630961 · Technician · Summerville, SC
Brae Dewalt is a Technician provider in Summerville, SC (NPI 1609630961).
Provider details
- NPI number
- 1609630961
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Pottery Cir
Summerville, SC 29483-8095
Phone: (843) 771-2934
Approximate (ZIP-level) locationGet directions
Mailing address
2097 Pimlico Dr
Ridgeville, SC 29472-5951
Registry dates
- Enumerated
- 2024-02-07
- Last updated
- 2024-02-07
- Certified
- 2024-02-07
Frequently asked questions
- What is Brae Dewalt's NPI number?
- Brae Dewalt's National Provider Identifier (NPI) is 1609630961, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brae Dewalt's specialty?
- Brae Dewalt is listed in the NPPES registry with a primary specialty of Technician (Nursing Service Related Providers).
- Where is Brae Dewalt located?
- Brae Dewalt's practice location on file with NPPES is 101 Pottery Cir, Summerville, SC 29483-8095.
- What is Brae Dewalt's phone number?
- The practice phone number listed in the NPPES registry for Brae Dewalt is (843) 771-2934.
- Is Brae Dewalt's NPI active?
- Yes — Brae Dewalt's NPI (1609630961) is active in the NPPES registry as of the last update on 2024-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.