NPIMap

Organization Active NPI

CBD Medical Enterprises PA

  • Anesthesiology Physician
  • Mount Pleasant, SC
National Provider Identifier
1578784609
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13634 Issued in SC
Legal business name
CBD MEDICAL ENTERPRISES PA
Practice address
1341 Old Georgetown Hwy
Suite B
Mt Pleasant, SC 29464
Phone
(843) 216-9870
Fax
(843) 216-9872
NPI assigned
May 2, 2007
Last updated
Mar 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Dr. Thomas A Duc Jr., MD
Title
President
Phone
(843) 762-3235

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13634 SC Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 13634 SC
Pain Medicine Physician 208VP0000X 13634 SC

Addresses

Primary practice location

1341 Old Georgetown Hwy
Suite B
Mt Pleasant, SC 29464

Mailing address

702 Whispering Marsh Dr
Charleston, SC 29412
Phone (843) 762-3235

National Provider Directory

National Provider Directory

Locations

1341 Old Georgetown Rd
Mt Pleasant, SC 29464
Phone (843) 216-4844

1341 Old Georgetown Rd
Ste B
Mt Pleasant, SC 29464
Phone (843) 216-9870

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1578784609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 WHISPERING MARSH DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-762-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 OLD GEORGETOWN HWY",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-216-9870",
            "fax_number": "843-216-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBD MEDICAL ENTERPRISES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "DUC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-762-3235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "13634",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "13634",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "SC",
            "license": "13634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.