Bearwood Plastic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

7807 Issued in SC

Legal business name

BEARWOOD PLASTIC SURGERY, LLC

Practice address

3031 N Highway 81
Anderson, SC 29621-3621

Phone

(864) 226-7371

Fax

(864) 226-8367

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Terry Keene Holdredge, M.D.

Title

Doctor of Plastic Surgery

Phone

(864) 226-7371

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1366405284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213621",
            "telephone_number": "864-226-7371",
            "fax_number": "864-226-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213621",
            "telephone_number": "864-226-7371",
            "fax_number": "864-226-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARWOOD PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "HOLDREDGE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "KEENE",
        "authorized_official_title_or_position": "DOCTOR OF PLASTIC SURGERY",
        "authorized_official_telephone_number": "864-226-7371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "7807",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "31311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078070",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Yolanda Beach
• Meghan Beal
• Adam Harrison Beall, M.D.
• Julie Beard
• Bearwood Ambulatory Surgery Center
• Lucila Beaton, LMSW
• Stephanie Shannon Beattie
• James David Beaty
• Vivian Orlynne Beauchamp, P.T.
• Susan K Beauford X

• Plastic Surgery Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.