Active NPI
Alexander M. Patrick, M.D.
- Family Medicine Physician
- Greenville, SC
National Provider Identifier
1760426241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5718
- Practice address
- 81 Pointe Cir
Greenville, SC 29615-3505 - Phone
- (864) 232-0321
- Fax
- (864) 232-7019
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5718 | SC | Primary |
Addresses
Primary practice location
81 Pointe Cir
Greenville, SC 29615-3505
Mailing address
7 Independence PT
Suite 140
Greenville, SC 29615-4566
Phone (864) 797-6044
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 571004971007 | Other | SC | BCBS OF SC ID |
| 080193482 | Other | SC | RR MEDICARE |
| 1585402 | Other | SC | CIGNA ID |
| 057182 | Medicaid | SC | |
| 4263685 | Other | SC | AETNA ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5718 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1760426241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT",
"address_2": "SUITE 140",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154566",
"telephone_number": "864-797-6044",
"fax_number": "864-797-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 POINTE CIR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153505",
"telephone_number": "864-232-0321",
"fax_number": "864-232-7019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "ALEXANDER",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "5718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF SC ID",
"identifier": "571004971007",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080193482",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "1585402",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057182",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "4263685",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.