Piedmont Behavioral Medicine Associates, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PIEDMONT BEHAVIORAL MEDICINE ASSOCIATES, LLC

Doing business as

Piedmont Behavioral Medicine Associates

Practice address

200 S Herlong Ave
Suite C
Rock Hill, SC 29732-3399

Phone

(803) 323-2775

Fax

(803) 325-2484

NPI assigned

Jul 7, 2009

Last updated

Jun 16, 2016By 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

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Piedmont Behavioral Medicine Associates Doing business as

Locations

Practitioners 1

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.

• William Harold Bragdon Jr., MD

  • Psychiatry Physician
  • West Columbia, SC
  • NPI 1346217601
  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1265661763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402368",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842368",
            "telephone_number": "803-323-2775",
            "fax_number": "803-325-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HERLONG AVE",
            "address_2": "SUITE C",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323399",
            "telephone_number": "803-323-2775",
            "fax_number": "803-325-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT BEHAVIORAL MEDICINE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5269",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Behavioral Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Behavior Analyst in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.