David M Braddy, MD
Individual provider Active NPI Family Medicine Physician · Gilbert, SC
NPI 1104264928 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1104264928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35706 (SC)
- Practice address
- 4080 Augusta Hwy
Gilbert, SC 29054-8893 - Phone
- (803) 892-1800
- Fax
- (803) 892-1812
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 21
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lexington Health Inc
Practice addresses (Care Compare)
4080 Augusta Hwy
Suite 100
Gilbert, SC 29054-8893
Phone (803) 892-1800
Hospital & facility affiliations
- Amedisys Home Health of Lexington
- Centerwell Home Health
- Medical Services of America Home Health
- Centerwell Home Health
- Lexington Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140716002729 | SC | Practitioner - Family Practice | 3678799293 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington Health Inc | Current |
Accepting new patients | |
| Lexington Health Inc | Family Medicine | Current | Accepting new patients |
| Lexington Health Inc | Current |
Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients | |
| Dillon Family Medicine, PA | Family Medicine | Past | Accepting new patients |
Locations
4080 Augusta Hwy
Ste 100
Gilbert, SC 29054
4080 Augusta Hwy
Gilbert, SC 29054
Phone (803) 892-1800
338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300
122 Powell Dr
Lexington, SC 29072
Phone (803) 957-8400
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000
Interoperability endpoints
- dbraddy91604@direct.lexmed.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35706 | SC | Yes |
Addresses
Primary practice location
4080 Augusta Hwy
Gilbert, SC 29054-8893
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbraddy91604@direct.lexmed.com |
Other providers in Gilbert, SC
- Aurora Total Wellness
- Michael Lynn Benton
- Christy Bolin
- Kenya A Cooper
- Joshua Cox
- Denise G. Derrick
- Sandra Mitchiner Dyer
- Lisa D Emmer
All providers in Gilbert, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.