Individual provider Active NPI

Glenn E Freedman, MD

  • Emergency Medicine Physician
  • Charleston, SC
National Provider Identifier
1275742595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
19885 Issued in SC
Practice address
4212 Sawgrass Dr
Charleston, SC 29420-7511
Phone
(843) 224-3747
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19885 SC Primary

Addresses

Primary practice location

4212 Sawgrass Dr
Charleston, SC 29420-7511

Mailing address

4212 Sawgrass Dr
Charleston, SC 29420-7511
Phone (843) 224-3747

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19885SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Kanawha County, PLLC Emergency Medicine Past Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Bestpractices of North Carolina PC Emergency Medicine Past Accepting new patients
Medexpress Urgent Care Texas, P.a. Emergency Medicine Past Accepting new patients
Roper Hospital, Inc. Past Accepting new patients
Western Carolina Emergency Physicians, PLLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients
Acs Emergency Physicians of SC PC Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275742595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 SAWGRASS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294207511",
            "telephone_number": "843-224-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 SAWGRASS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294207511",
            "telephone_number": "843-224-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "GLENN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "19885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.