Active NPI
David Chadbourne, MD
- Urology Physician
- Seneca, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 81829
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 818299 | Medicaid | SC | |
| GP4449 | Medicaid | SC | |
| 10444433 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dchadbourne398761@direct.ghs.myhfn.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101371-85 | WI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arh Tug Valley Health Services, Inc. | Current | Accepting new patients | |
| McLeod Physician Associates II | Urology | Current | Accepting new patients |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Urology | Current | Accepting new patients |
| Arh Tug Valley Health Services, Inc. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
Urology
-
- Multi-Specialty Clinic/Center
- Paintsville, KY
- NPI 1588328967
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Optometrist
- Paintsville, KY
- NPI 1679235832
-
- Diagnostic Radiology Physician
- Paintsville, KY
- NPI 1811639297
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Family Medicine Physician
- Dillon, SC
- NPI 1568434249
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1033889795
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154197846
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
- General Acute Care Hospital
- Coulmbia, SC
- NPI 1154432458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1306623137
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1396524104
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1508554452
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1811237985
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.