Active NPI
Rapha Family Footcare
- Podiatrist
- Charleston, SC
National Provider Identifier
1740364207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00123
- Legal business name
- RAPHA FAMILY FOOTCARE
- Practice address
- 172 Spring St
Charleston, SC 29403-5220 - Phone
- (843) 722-8628
- Fax
- (843) 722-1055
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Beulah M. Brooks, DPM
- Title
- Podiatrist
- Phone
- (843) 722-8628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00123 | SC | Primary |
Addresses
Primary practice location
172 Spring St
Charleston, SC 29403-5220
Mailing address
PO Box 1633
Walterboro, SC 29488-0016
Phone (843) 722-8628
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP9914 | Medicaid | SC | |
| DE2865 | Other | SC | MEDICAID DME |
| DF5446 | Other | SC | MEDICARE RAIL ROAD |
National Provider Directory
National Provider DirectoryLocations
172 Spring St
Charleston, SC 29403
Phone (843) 722-8628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1740364207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1633",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294880016",
"telephone_number": "843-722-8628",
"fax_number": "843-722-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 SPRING ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035220",
"telephone_number": "843-722-8628",
"fax_number": "843-722-1055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAPHA FAMILY FOOTCARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "BEULAH",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "843-722-8628",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "SC",
"license": "00123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP9914",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "DE2865",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "DF5446",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.