NPIMap

Organization Active NPI

Charleston ENT Associates

Doing business as Hilton Head ENT

  • Otolaryngology Physician
  • Hilton Head, SC
National Provider Identifier
1053833178
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CHARLESTON ENT ASSOCIATES
Doing business as
Hilton Head ENT
Practice address
23 Main St Ste 201
Hilton Head, SC 29926-6607
Phone
(843) 682-3955
NPI assigned
Jul 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARLESTON ENT ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Eugene G Brown, MDNPI 1245238930
Title
President
Phone
(843) 766-7103

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

23 Main St Ste 201
Hilton Head, SC 29926-6607

Mailing address

2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103

Other practice location 1

10 Arley Way Ste 101
Bluffton, SC 29910-4883
Phone (843) 682-3955

Other identifiers 1

IdentifierTypeStateIssuer
GP1728MedicaidSC

Other names 1

  • Hilton Head ENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charleston ENT Associates L13 organizations share this tax ID, including this one
Part of
Charleston ENT Associates L

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053833178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147801",
            "telephone_number": "843-766-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAIN ST STE 201",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299266607",
            "telephone_number": "843-682-3955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Arley Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299104883",
            "country_code": "US",
            "telephone_number": "843-682-3955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLESTON ENT ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLESTON ENT ASSOCIATES LLC",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-766-7103",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1728",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilton Head ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.