SearchSouth Carolina208100000X

Bryan Wacker, DO

NPI 1346999489 · on the registry since 2022 · sole proprietor

Practice

Address
169 Ashley Ave
Room 202 Main Hospital Msc333
Charleston, SC 29425
Phone
(843) 876-7080
Organisation at this address
Musc
Carolina Family Care
University Medical Associates
Medical University Of South Carolina
Medical University Of South Carolina
Inferred from a shared address, not stated in the registry.
Clinicians at this address
993

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina