Rapha Family Footcare

Primary specialty

PodiatristTaxonomy code 213E00000X

License

123 Issued in SC

Legal business name

RAPHA FAMILY FOOTCARE

Practice address

819 Carn St
Walterboro, SC 29488-4322

Phone

(843) 549-6271

Fax

(843) 542-9030

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Beulah M. Brooks, DPM

Title

Podiatrist

Phone

(843) 549-6271

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1154486025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1633",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880016",
            "telephone_number": "843-549-6271",
            "fax_number": "843-542-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 CARN ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294884322",
            "telephone_number": "843-549-6271",
            "fax_number": "843-542-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHA FAMILY FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "BEULAH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "843-549-6271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "DE2876",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF5446",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9915",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priority Home Care LLC
• Pruitthealth - Walterboro, LLC
• PSC, Inc
• Shannon Morris Pye, DMD
• Mark Andrew Rainwater, DDS
• Dee Anne Hickman Reaves, OTR/L
• James Lee Reavis
• Horace Lee Reese III, PHARMD
• Gunther Rencken, MD
• Kimberly M Rencken, NP

• Podiatrist in Walterboro, SC
• Providers in Walterboro, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.