South Carolina Podiatric Physicians and Surgeons Group, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC

Doing business as

Piedmont Podiatry Assoc.

Practice address

11 Mills Ave
Greenville, SC 29605-4015

Phone

(864) 232-3668

Fax

(864) 271-0526

NPI assigned

Feb 26, 2014

Last updated

Jun 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Percival, D.P.M.NPI 1518930817

Title

President

Phone

(803) 285-1411

Specialties & licenses 1

Addresses

Other names 1

• Piedmont Podiatry Assoc. Doing business as

Locations

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.

• Brandon Scot Percival, D.P.M.

  • Podiatrist
  • Lancaster, SC
  • NPI 1518930817
  Authorized official Same address or phone

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1104241223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8141 ROURK STREET",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "803-285-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054015",
            "telephone_number": "864-232-3668",
            "fax_number": "864-271-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA PODIATRIC PHYSICIANS AND SURGEONS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "PERCIVAL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-285-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Podiatry Assoc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christy Marie South, APRN, WHNP-BC
• Robert South, EMT
• Kelly Southard

• Foot & Ankle Surgery Podiatrist in Greenville, SC
• Providers in Greenville, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.