Organization Active NPI

Rapha Family Footcare

  • Podiatrist
  • Charleston, SC
National Provider Identifier
1740364207
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00123 Issued in SC
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

Updated by the provider on Sep 26, 2008

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP9914MedicaidSC
DE2865OtherSCMEDICAID DME
DF5446OtherSCMEDICARE RAIL ROAD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.