Organization Active NPI

Barry D. Oliver, MD, PA

  • Orthopaedic Surgery Physician
  • Columbia, SC
National Provider Identifier
1548245822
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
14795 Issued in SC
Legal business name
BARRY D. OLIVER, MD, PA
Practice address
1416 Calhoun St
Columbia, SC 29201-2510
Phone
(803) 252-5791
Fax
(803) 254-7215
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Barry Durand Oliver, MD
Title
Owner
Phone
(803) 252-5791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 14795 SC Primary

Addresses

Primary practice location

1416 Calhoun St
Columbia, SC 29201-2510

Mailing address

1416 Calhoun St
Columbia, SC 29201-2510
Phone (803) 252-5791

Other identifiers 1

IdentifierTypeStateIssuer
147950MedicaidSC

National Provider Directory

National Provider Directory

Locations

1416 Calhoun St
Columbia, SC 29201
Phone (803) 252-5791

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1548245822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012510",
            "telephone_number": "803-252-5791",
            "fax_number": "803-254-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 CALHOUN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012510",
            "telephone_number": "803-252-5791",
            "fax_number": "803-254-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY D. OLIVER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "DURAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-252-5791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "14795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147950",
            "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 Dec 4, 2009; 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.