Active NPI
Robert Richard Murrray Gifford, M.D.
- Vascular Surgery Physician
- Columbia, SC
National Provider Identifier
1477510618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 6059
- Practice address
- 2 Medical Park Rd
Suite 300
Columbia, SC 29203-6808 - Phone
- (803) 256-2657
- Fax
- (803) 434-7349
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 6059 | SC | Primary |
Addresses
Primary practice location
2 Medical Park Rd
Suite 300
Columbia, SC 29203-6808
Mailing address
2 Medical Park Rd
Suite 402
Columbia, SC 29203-6808
Phone (803) 256-2657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060597 | Medicaid | SC |
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 |
|---|---|---|---|
| 6059 | SC | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1477510618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK RD",
"address_2": "SUITE 402",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036808",
"telephone_number": "803-256-2657",
"fax_number": "803-434-7349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK RD",
"address_2": "SUITE 300",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036808",
"telephone_number": "803-256-2657",
"fax_number": "803-434-7349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIFFORD",
"first_name": "ROBERT",
"middle_name": "RICHARD MURRRAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "SC",
"license": "6059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060597",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.