Greenville-Pediatrics PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14106 Issued in SC

Legal business name

GREENVILLE-PEDIATRICS PA

Practice address

37 Brendan Way
Greenville, SC 29615-3514

Phone

(864) 458-7792

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Harvey Washburn, M.D.

Title

President

Phone

(864) 458-7792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720102809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BRENDAN WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153514",
            "telephone_number": "864-458-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BRENDAN WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153514",
            "telephone_number": "864-458-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE-PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-458-7792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "14106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Greenville, SC
• Providers in Greenville, 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 Aug 22, 2020; 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.