Organization Active NPI

Columbia Plastic Surgery, LLC

  • Plastic Surgery Physician
  • West Columbia, SC
National Provider Identifier
1497500375
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
COLUMBIA PLASTIC SURGERY, LLC
Practice address
3634 Sunset Blvd
Suite C
West Columbia, SC 29169
Phone
(803) 926-0969
Fax
(803) 926-0757
NPI assigned
Apr 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Charles Brett Carlin, M.D.
Title
Owner
Phone
(803) 926-0969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

3634 Sunset Blvd
Suite C
West Columbia, SC 29169

Mailing address

3634 Sunset Blvd
Suite C
West Columbia, SC 29169

National Provider Directory

National Provider Directory

Locations

3634 Sunset Blvd
Ste C
West Columbia, SC 29169
Phone (803) 926-0969

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1497500375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 SUNSET BLVD",
            "address_2": "SUITE C",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 SUNSET BLVD",
            "address_2": "SUITE C",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-926-0969",
            "fax_number": "803-926-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "CARLIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-926-0969",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.