Brooker, Reginald Christopher
Brooker, Reginald Christopher is an individual health care provider with primary practice located at 1483 Tobias Gadson Blvd Ste 202 , Charleston SC 29407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Brooker, Reginald Christopher can be contacted via phone (843) 763-2320.Contact Information
Primary practice address
1483 Tobias Gadson Blvd Ste 202
Charleston SC 29407
Phone: (843) 763-2320
Fax: (843) 763-4198
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 22878 | South Carolina |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 22878 | South Carolina |
Profile Details
NPI number | 1801801253 |
---|---|
LBN Legal business name | Brooker, Reginald Christopher |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | Oct 29th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801801253 | NPPES |
South Carolina | Other | 20081903 | SELECT HEALTH |
South Carolina | Other | 17550559373 | SELECT HEALTH |
South Carolina | Other | 1801801253 | SELECT HEALTH |
South Carolina | Other | 20-8933998 | SELECT HEALTH |
South Carolina | MEDICAID | 228783 | SELECT HEALTH |
South Carolina | Other | 8945 | SELECT HEALTH |
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