NPIMap

Individual provider Active NPI

Hugh D Durrence, M.D.

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1750551206
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18668 Issued in SC
Practice address
418 Folly Rd
Suite a
Charleston, SC 29412-2625
Phone
(843) 795-5362
Fax
(843) 795-1921
NPI assigned
Mar 11, 2008
Last updated
Aug 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18668 SC Primary

Addresses

Primary practice location

418 Folly Rd
Suite a
Charleston, SC 29412-2625

Mailing address

PO Box 13955
Charleston, SC 29422-3955
Phone (843) 795-5362

Other identifiers 2

IdentifierTypeStateIssuer
1D186685MedicaidSC
SRRGAOtherSCRAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000614 SC Practitioner - Family Practice 6204867278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

418 Folly Rd
Ab
Charleston, SC 29412-2625
Phone (843) 225-8320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors, LLC Family Medicine CurrentSince Jun 1, 2015 Accepting new patients
Liberty Doctors LLC Family Medicine Current Accepting new patients
Hedgemark Brentwood Medical Services, Inc.-Dba PHC Home Health PastSince Jul 26, 1984 Accepting new patients
Liberty Doctors, LLC Family Medicine Past Accepting new patients
Hedgemark Brentwood Pharmacy, Inc. PastSince Jun 11, 1997 Accepting new patients

Locations

418 Folly Rd
Charleston, SC 29412
Phone (843) 795-5362

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

Interoperability endpoints

  • Direct secure messaging: hdurrence@libertydoctors.ssdirect.aprima.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
PHC Home HealthCharleston, SC, CCN 427055 Home health agency 5% Or Greater Direct Ownership Interest
Corporate Director		 Jun 13, 2007
Jun 13, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1750551206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13955",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223955",
            "telephone_number": "843-795-5362",
            "fax_number": "843-795-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 FOLLY RD",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122625",
            "telephone_number": "843-795-5362",
            "fax_number": "843-795-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRENCE",
        "first_name": "HUGH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "18668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D186685",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "SRRGA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.