Organization Active NPI

Drew Medical Group, LLC

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1083967210
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1447 Issued in SC
Legal business name
DREW MEDICAL GROUP, LLC
Practice address
2209 Wentworth Dr
Myrtle Beach, SC 29575-5827
Phone
(843) 831-0442
NPI assigned
Oct 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Dr. Alexander M. Drew, DO
Title
Owner/President
Phone
(843) 831-0442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1447 SC Primary

Addresses

Primary practice location

2209 Wentworth Dr
Myrtle Beach, SC 29575-5827

Mailing address

2209 Wentworth Dr
Myrtle Beach, SC 29575-5827
Phone (843) 831-0442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1083967210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 WENTWORTH DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295755827",
            "telephone_number": "843-831-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 WENTWORTH DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295755827",
            "telephone_number": "843-831-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "843-831-0442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.