WM. Bryan Dorn VA Medical Center

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

87748 Issued in SC

Legal business name

WM. BRYAN DORN VA MEDICAL CENTER

Practice address

244 Wild Olive Dr
Columbia, SC 29229-8179

Phone

(803) 736-1270

NPI assigned

Mar 10, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Syreeta Nicole Miller

Title

Registered Nurse

Phone

(803) 736-1270

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331337600000",
    "number": "1740555671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WILD OLIVE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298179",
            "telephone_number": "803-736-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WILD OLIVE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298179",
            "telephone_number": "803-736-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM. BRYAN DORN VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-10",
        "last_updated": "2012-03-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SYREETA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "803-736-1270",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "SC",
            "license": "87748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WJB Dorn VA Hospital
• WJB Dorn Veteran Administration Medical Center
• WJB Dorn Veterns Medical Center
• WJBD VA Medical Facility
• Wjbdorn VA Medical
• Debra L Woda, APRN
• Elizabeth Derrick Wofford, M.D.
• John Elihu Wofford IV, M.D.
• Heather Ann Wogoman, APRN
• Kayla Anne Wolcott, PHARMD

• Military Hospital in Columbia, SC
• Providers in Columbia, SC by specialty
• Military Hospital in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2012; 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.