Active NPI
Glenn E Freedman, MD
- Emergency Medicine Physician
- Charleston, SC
National Provider Identifier
1275742595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19885
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19885 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
| Acs Emergency Physicians of SC PC | Emergency Medicine | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1124355375
-
- Family Medicine Physician
- Charleston, SC
- NPI 1366591703
-
- Emergency Medicine Physician
- Rock Hill, SC
- NPI 1548454754
-
- Emergency Medicine Physician
- Smithfield, NC
- NPI 1770560591
-
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
-
- Emergency Medicine Physician
- South Charleston, WV
- NPI 1326087289
-
- Urgent Care Clinic/Center
- Waxahachie, TX
- NPI 1235633306
Emergency Medicine
-
- Emergency Medicine Physician
- Albemarle, NC
- NPI 1134391758
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.