Individual provider Active NPI

David Ullman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbia, SC
National Provider Identifier
1013397835
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
84178 Issued in SC
Practice address
1709 Barnwell St
Columbia, SC 29201-2641
Phone
(803) 254-3376
NPI assigned
Jun 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 84178 SC Primary

Addresses

Primary practice location

1709 Barnwell St
Columbia, SC 29201-2641

Mailing address

625 19TH St S
Birmingham, AL 35233-1900

Other practice location 1

25 Hospital Center Blvd
Hilton Head Island, SC 29926-2738
Phone (843) 681-6122

Other practice location 2

625 19th St S
Birmingham, AL 35233-1900
Phone (205) 934-4977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200615000759 SC Practitioner - Pathology 7618289901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Group LLCGroup PAC ID 0345343570, 3 clinicians

Practice addresses (Care Compare)

1709 Barnwell St
Columbia, SC 29201-2641
Phone (803) 254-3376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84178SCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Group LLC CurrentSince May 12, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients

Locations

1344 Haile St
Camden, SC 29020
Phone (803) 254-3376

1709 Barnwell St
Columbia, SC 29201
Phone (803) 254-3376

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1013397835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 BARNWELL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012641",
            "telephone_number": "803-254-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Hospital Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299262738",
            "country_code": "US",
            "telephone_number": "843-681-6122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-4977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULLMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-06",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "84178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.