Pediatric Pulmonary Assoc

Primary specialty

SpecialistTaxonomy code 174400000X

License

14757 Issued in SC

Legal business name

PEDIATRIC PULMONARY ASSOC

Practice address

Suite 210
2113 Adams Grove Road
Columbia, SC 29203-6957

Phone

(803) 748-1080

NPI assigned

May 18, 2006

Last updated

Apr 20, 2008By 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

Daniel Brown, MDNPI 1407802267

Title

Physician

Phone

(803) 748-7555

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Daniel Craig Brown, MD

  • Pediatric Pulmonology Physician
  • Columbia, SC
  • NPI 1407802267
  NPD (past) Authorized official
• David Eugene Brown III, MD

  • Pediatric Pulmonology Physician
  • Columbia, SC
  • NPI 1679507065
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1134172133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 210",
            "address_2": "2113 ADAMS GROVE ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036957",
            "telephone_number": "803-748-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 210",
            "address_2": "2113 ADAMS GROVE ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036957",
            "telephone_number": "803-748-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PULMONARY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-748-7555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "14757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2540",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BROWN'S LICENSE #",
            "identifier": "14757",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates, P.a.
• Pediatric Associates, P.a.
• Pediatric Endocrine Specialty
• Pediatric Hair Solutions Corporation
• Pediatric Innovations
• Pediatric School Psychology: Evaluation and Consultation Services
• Pediatric Services of America, Inc (PSA Healthcare)
• Pediatric Speech Therapy Services
• Pee Dee Health Care, PA (DME)
• Catherine B Peebles, RPH

• Specialist in Columbia, SC
• Providers in Columbia, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.