Individual provider Active NPI

Lelia R Brigmon, PHARM.D.

  • Psychiatric Pharmacist
  • Augusta, GA
National Provider Identifier
1194779587
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
010594 Issued in SC
Practice address
1 Freedom Way
Vamc- MH&Geriatrics 263
Augusta, GA 30904-6258
Phone
(706) 733-0188
Fax
(706) 731-7164
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X PS23880 FL
Psychiatric Pharmacist 1835P1300X 010594 SC Primary
Geriatric Pharmacist 1835G0303X 3720 FL

Addresses

Primary practice location

1 Freedom Way
Vamc- MH&Geriatrics 263
Augusta, GA 30904-6258

Mailing address

512 San Salvador Dr
North Augusta, SC 29841-3509
Phone (803) 640-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS23880FLMDPsychiatric Pharmacist
010594SCMDPsychiatric Pharmacist
3720FLMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1194779587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SAN SALVADOR DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413509",
            "telephone_number": "803-640-9141",
            "fax_number": "803-278-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FREEDOM WAY",
            "address_2": "VAMC- MH&GERIATRICS 263",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046258",
            "telephone_number": "706-733-0188",
            "fax_number": "706-731-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGMON",
        "first_name": "LELIA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "FL",
            "license": "PS23880",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "SC",
            "license": "010594",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "3720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.