Active NPI
Community Care Collaborative
- Behavioral Neurology & Neuropsychiatry Physician
- Columbia, SC
National Provider Identifier
1518876754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavioral Neurology & Neuropsychiatry Physician
- Legal business name
- COMMUNITY CARE COLLABORATIVE
- Practice address
- 652 Bush River Rd
Columbia, SC 29210-7521 - Phone
- (803) 254-9767
- NPI assigned
- Sep 3, 2026
- Last updated
- Sep 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Bjrok
- Title
- Owner
- Phone
- (803) 254-9767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | NU | Primary |
Addresses
Primary practice location
652 Bush River Rd
Columbia, SC 29210-7521
Mailing address
652 Bush River Rd Ste 203
Columbia, SC 29210-7537
National Provider Directory
National Provider DirectoryLocations
652 Bush River Rd
Columbia, SC 29210
Phone (469) 768-0097
652 Bush River Rd
Ste 203
Columbia, SC 29210
Phone (724) 350-0048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788393600000",
"number": "1518876754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 BUSH RIVER RD STE 203",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 BUSH RIVER RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292107521",
"telephone_number": "803-254-9767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE COLLABORATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A",
"authorized_official_last_name": "BJROK",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-254-9767"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.