Active NPI
Bradley Dargan Flowers, D.M.D.
- Dentist
- Hartsville, SC
National Provider Identifier
1578827218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DGD.8087 GD
- Practice address
- 756 W Carolina Ave
Hartsville, SC 29550-4412 - Phone
- (843) 332-0623
- Fax
- (843) 917-0454
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DGD.8087 GD | SC | Primary |
Addresses
Primary practice location
756 W Carolina Ave
Hartsville, SC 29550-4412
Mailing address
756 W Carolina Ave
Hartsville, SC 29550-4412
Phone (843) 332-0623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150717000073 | SC | Order and Referring Only - Dentist | 7719290931 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8087 | SC | MD | Professional Counselor |
| DGD.8087 GD | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K. Dargan Flowers, Jr. D.M.D. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Hartsville, SC
- NPI 1093060626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1578827218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 W CAROLINA AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504412",
"telephone_number": "843-332-0623",
"fax_number": "843-917-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "756 W CAROLINA AVE",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295504412",
"telephone_number": "843-332-0623",
"fax_number": "843-917-0454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "BRADLEY",
"middle_name": "DARGAN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD.8087 GD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.