Organization Active NPI

Select Family Medicine, LLC

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1245785393
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SELECT FAMILY MEDICINE, LLC
Practice address
312 S McQueen St
Florence, SC 29501-4723
Phone
(843) 799-2978
Fax
(843) 799-2980
NPI assigned
Aug 18, 2016
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Traesa Brown, MD
Title
Owner
Phone
(843) 619-3599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

312 S McQueen St
Florence, SC 29501-4723

Mailing address

1937 W Palmetto St
Ste 131
Florence, SC 29501-3916
Phone (843) 619-3599

National Provider Directory

National Provider Directory

Locations

1937 W Palmetto St
Ste 131
Florence, SC 29501

312 S McQueen St
Florence, SC 29501
Phone (843) 619-3599

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1245785393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 W PALMETTO ST",
            "address_2": "STE 131",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013916",
            "telephone_number": "843-619-3599",
            "fax_number": "843-619-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S MCQUEEN ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014723",
            "telephone_number": "843-799-2978",
            "fax_number": "843-799-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TRAESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-619-3599",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.