# BRANSTITER ANESTHESIA SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Branstiter Anesthesia Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467017004
- **Authorized official:** ALY D BRANSTITER (PRESIDENT)
- **Authorized official phone:** (843) 614-7304

## Contact information

- **Practice address:** 1844 WALLACE SCHOOL RD, CHARLESTON, SC 29407-4822
- **Practice address phone:** (843) 614-7304
- **Practice address fax:** (803) 765-1732
- **Mailing address:** PO BOX 1467, COLUMBIA, SC 29202-1467
- **Mailing address phone:** (866) 283-6375
- **Mailing address fax:** (803) 765-1732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |
| 367H00000X | Anesthesiologist Assistant | — | NULL | — |
| 367H00000X | Anesthesiologist Assistant | — | — | — |

## Other

- **Enumeration date:** 05/09/2019
- **Last updated:** 10/11/2019