Gary B Anderson, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

17855 Issued in SC

Practice address

1892 Brigadoone LN
Florence, SC 29505-3235

Phone

(843) 292-9902

NPI assigned

Nov 28, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1699010983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12937",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295042937",
            "telephone_number": "843-292-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 BRIGADOONE LN",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053235",
            "telephone_number": "843-292-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "GARY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "17855",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME91700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Homepatient, Inc.
• Garland Pearson Ames, FNP
• Anderson Transport Services LLC
• Ashley Crisp Anderson, PA-C
• Chelsea Monquetta Anderson
• Heather Anderson, LPN
• Jason Dean Anderson, PSY.D.
• Jason K Anderson, CRNA
• Niya Anderson
• Travis L Anderson

• Pulmonary Disease Physician in Florence, SC
• Providers in Florence, SC by specialty
• Pulmonary Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.