Jacobus Orthopedics and Interventional Pain Management LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

JACOBUS ORTHOPEDICS AND INTERVENTIONAL PAIN MANAGEMENT LLC

Practice address

118 Clair Dr
Piedmont, SC 29673-7771

Phone

(864) 934-8787

NPI assigned

Nov 29, 2018

Last updated

Mar 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eddie Van Bridges, DC

Title

Coo

Phone

(864) 934-8787

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1750851085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CLAIR DR",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737771",
            "telephone_number": "864-934-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CLAIR DR",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296737771",
            "telephone_number": "864-934-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBUS ORTHOPEDICS AND INTERVENTIONAL PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "864-934-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hookd by Keem
• Hosanna Health & Rehab of Piedmont, LLC
• Hiliary Seay Humphries, MD
• Quinn Douglas Hunt, MD
• Issaqueena Pediatric Dentistry P.a.
• Maurian Jenkins, AGNP
• W. Clark Jernigan, M.D.
• Crescent Shubrada Jeter
• Gregory Allen Johnson, MD
• Erin Jones, RD

• Orthopaedic Surgery Physician in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Orthopaedic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.