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NPISignal

Individual Healthcare Provider

Kelsey Grant Brantley, CPT

NPI Record: ActiveProsthetic/Orthotic Supplier
NPI1215705777
Mauldin, South Carolina

Provider's NPPES record last updated: August 6, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1215705777
Primary Specialty
Prosthetic/Orthotic Supplier
Practice Location
Mauldin, South Carolina
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 1:39 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Prosthetic/Orthotic Supplier

    Suppliers

    Primary

    An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

    Taxonomy code 335E00000X
  • Technician, Pathology

    Phlebotomy

    Technologists, Technicians & Other Technical Service Providers

    Definition to come...

    Taxonomy code 246RP1900X
  • Technician, Pathology

    Clinical Laboratory Director, Non-physician

    Technologists, Technicians & Other Technical Service Providers

    An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

    Taxonomy code 247ZC0005X

Provider-Reported License Information

Prosthetic/Orthotic Supplier (South Carolina)
WE8BZQE1EK
Technician, Pathology (South Carolina)
N23108789
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

400 S Main St Ste B2

Mauldin, South Carolina 29662-2251

Phone: (864) 300-0113

Record Information

Enumeration Date
December 14, 2023
Provider's NPPES Record Last Updated
August 6, 2025
Certification Date
August 6, 2025
NPISignal NPPES Dataset
August 2026

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