James H. Brunson, Jr, Md

LBN: Edisto Regional Health Services
James H. Brunson, Jr, Md is an health care organization with primary practice located at 1170 Boulevard St Suite A, Orangeburg SC 29115-4359. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Edisto Regional Health Services can be contacted via phone (803) 533-0042, or through Dandridge, Thomas via phone (803) 395-2200.

Contact Information

Primary practice address
1170 Boulevard St Suite A Orangeburg SC 29115-4359
Phone: (803) 533-0042
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dandridge, Thomas
Phone: (803) 395-2200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1699713537
LBN Legal business name Edisto Regional Health Services
DBA Doing business as James H. Brunson, Jr, Md
Authorized official Dandridge, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699713537 NPPES
South Carolina MEDICAID GP4350

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