Individual provider Active NPI

David Chadbourne, MD

  • Urology Physician
  • Seneca, SC
National Provider Identifier
1740277011
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
81829 Issued in SC
Practice address
135 Professional Park Dr
Seneca, SC 29678-2558
Phone
(864) 882-8074
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 101371-85 WI
Urology Physician 208800000X 81829 SC Primary

Addresses

Primary practice location

135 Professional Park Dr
Seneca, SC 29678-2558

Mailing address

PO Box 887
Abbeville, SC 29620-0887
Phone (864) 366-7902

Other practice location 1

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 741-6990

Other practice location 2

1301 Taylor St Ste 1A
Columbia, SC 29201-2946
Phone (803) 434-4790

Other identifiers 3

IdentifierTypeStateIssuer
818299MedicaidSC
GP4449MedicaidSC
10444433OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dchadbourne398761@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191216000368 SC Practitioner - Urology 4880612134 Reassigns benefits to 2 organizations
I20220228002661 KY Practitioner - Urology 4880612134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

1301 Taylor St
Suite 1a
Columbia, SC 29201-2946
Phone (803) 434-4790

800 E Cheves St
Suite 350
Florence, SC 29506-2649
Phone (843) 665-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101371-85WIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Tug Valley Health Services, Inc. CurrentSince Jan 10, 2022 Accepting new patients
McLeod Physician Associates II Urology CurrentSince Feb 7, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jun 9, 2025 Accepting new patients
Prisma Health Medical Group-Midlands Urology CurrentSince Jun 9, 2025 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Jan 10, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 1, 2024 Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

1301 Taylor St
Ste 1A
Columbia, SC 29201
Phone (803) 254-4591

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

800 E Cheves St
Ste 350
Florence, SC 29506
Phone (843) 665-2000

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

506 E Cheves St
#202
Florence, SC 29506

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: dchadbourne398761@direct.ghs.myhfn.org

Organizations & group practices 9

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1740277011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296200887",
            "telephone_number": "864-366-7902",
            "fax_number": "864-366-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PROFESSIONAL PARK DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782558",
            "telephone_number": "864-882-8074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mineral Point Ave",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535482940",
            "country_code": "US",
            "telephone_number": "608-741-6990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Taylor St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012946",
            "country_code": "US",
            "telephone_number": "803-434-4790",
            "fax_number": "803-434-4799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHADBOURNE",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "101371-85",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "81829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "818299",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4449",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10444433",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchadbourne398761@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dchadbourne398761@direct.ghs.myhfn.org",
            "address_1": "135 Professional Park Dr",
            "city": "Seneca",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296782558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.