Individual provider Active NPI

Debra Ann Bjork, D.O.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Columbia, SC
National Provider Identifier
1033429568
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
TL38954 Issued in SC
Practice address
1911 Gadsden St Ste 101
Columbia, SC 29201-6400
Phone
(803) 335-5232
NPI assigned
Oct 18, 2010
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X TL38954 SC Primary

Addresses

Primary practice location

1911 Gadsden St Ste 101
Columbia, SC 29201-6400

Mailing address

3965 Fish Hatchery Rd
Gaston, SC 29053-9038
Phone (803) 755-2261

Other practice location 1

3965 Fish Hatchery Rd
Gaston, SC 29053-9038
Phone (803) 755-2261

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
I20160215001945 SC Practitioner - Psychiatry 5991009730 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Future Psych Solutions, LLCGroup PAC ID 5395055685, 9 clinicians

Practice addresses (Care Compare)

1911 Gadsden St
Suite 101
Columbia, SC 29201-6400
Phone (803) 851-0642

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Future Psych Solutions, LLC CurrentSince Nov 1, 2023 Accepting new patients
Limitless Health Connections, LLC CurrentSince Nov 1, 2023 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Community Care Collaborative Behavioral Neurology & Neuropsychiatry CurrentSince Sep 1, 2026 Accepting new patients
TMS Neurohealth South Carolina LLC CurrentSince Nov 1, 2023 Accepting new patients
Premier Counseling CurrentSince Jan 1, 2022 Accepting new patients

Locations

1911 Gadsden St
Ste 101
Columbia, SC 29201
Phone (803) 335-5232

4711 Forest Dr
Ste 3
Columbia, SC 29206
Phone (646) 450-8990

652 Bush River Rd
Columbia, SC 29210
Phone (469) 768-0097

2323 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 378-2886

Interoperability endpoints

  • Direct secure messaging: debra.bjork.p1@direct.scdc.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1033429568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 FISH HATCHERY RD",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290539038",
            "telephone_number": "803-755-2261",
            "fax_number": "803-755-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 GADSDEN ST STE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292016400",
            "telephone_number": "803-335-5232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3965 Fish Hatchery Rd",
            "address_purpose": "LOCATION",
            "city": "Gaston",
            "state": "SC",
            "postal_code": "290539038",
            "country_code": "US",
            "telephone_number": "803-755-2261",
            "fax_number": "803-755-9982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BJORK",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "SC",
            "license": "TL38954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.