Childrens Choice Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

17166 Issued in SC

Legal business name

CHILDRENS CHOICE PEDIATRICS PA

Practice address

6108 Garners Ferry Rd
Columbia, SC 29209-1401

Phone

(803) 647-1265

Fax

(803) 647-1266

NPI assigned

Dec 21, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Francis Brady, M.D.NPI 1295705200

Title

Member Pediatrican

Phone

(803) 647-1265

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Francis Brady, M.D.

  • Pediatrics Physician
  • Columbia, SC
  • NPI 1295705200
  NPD (past) Authorized official
• John Michael Carroll, M.D.

  • Pediatrics Physician
  • Columbia, SC
  • NPI 1669442869
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1183939200000",
    "number": "1528122884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091401",
            "telephone_number": "803-647-1265",
            "fax_number": "803-647-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091401",
            "telephone_number": "803-647-1265",
            "fax_number": "803-647-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CHOICE PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-09",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "MEMBER PEDIATRICAN",
        "authorized_official_telephone_number": "803-647-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "17166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4126",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CHFS Management Services Corporation
• Karina Lee Chiddo, RD
• Child Advocacy and Recovery Center
• Brittany Nicole Childers, AGNP-C
• Childhood Reimagined, LLC
• Raveen Childs, RBT
• Wendy Rene Chiles, PHARM D
• Kim J. Chillag, MD
• Teresa Chimienti, LMSW
• Venkata Sai B Chinnakotla, MD

• Pediatrics Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.