NPI 1013411859

Ian Michael Brastauskas

Practitioner Vascular Surgery Physician West Columbia, SC

Practice location

Address: 2728 Sunset Blvd STE 400, West Columbia, SC 29169-4872
Phone: (803) 936-7095
Fax: (803) 936-7908
Mailing address: PO Box 6069, West Columbia, SC 29171-6069

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 96678 (SC)

Other Surgery providers in South Carolina →

Registry record

NPI: 1013411859
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2018
Record last updated: 30 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.