Edgewater Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDGEWATER MEDICAL CENTER

Practice address

1162 Fort Mill Hwy
Suite a
Fort Mill, SC 29707-7511

Phone

(803) 396-7900

Fax

(803) 396-2963

NPI assigned

Nov 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Brian A Walker, D.O.

Title

Physician/Partner

Phone

(803) 396-7900

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1184878423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 FORT MILL HWY",
            "address_2": "SUITE A",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077511",
            "telephone_number": "803-396-7900",
            "fax_number": "803-396-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 FORT MILL HWY",
            "address_2": "SUITE A",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077511",
            "telephone_number": "803-396-7900",
            "fax_number": "803-396-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "803-396-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Physical Therapy & Rehabilitation
• Jean Ellen Earhart, LCSW
• Logan B Ebersold, DMD
• Edge Solutions Group, LLC Dba Americare Fort Mill
• Trisha Edge, MBA
• Edgewater Urgent Care
• Torian Edwards, RBT
• Ehk LLC
• Karolin Eichler
• Taylor Coryn Eldred, OD

• Family Medicine Physician in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.