NPIMap

Organization Active NPI

LB & KM LLC

Doing business as The Doc House

  • Family Medicine Physician
  • Murrells Inlet, SC
National Provider Identifier
1780643049
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO 411 Issued in SC
Legal business name
LB & KM LLC
Doing business as
The Doc House
Practice address
4630 Hwy 17 Bypass
Murrells Inlet, SC 29576-5016
Phone
(843) 357-1299
Fax
(843) 357-2264
NPI assigned
Mar 23, 2006
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Dr. Gayle L Brook, D.ONPI 1902987407
Title
Partner
Phone
(843) 357-1299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO 411 SC Primary
Cardiovascular Disease Physician 207RC0000X MD17689 SC

Addresses

Primary practice location

4630 Hwy 17 Bypass
Murrells Inlet, SC 29576-5016

Mailing address

PO Box 2747
Murrells Inlet, SC 29576-2662
Phone (843) 357-1299

Other identifiers 2

IdentifierTypeStateIssuer
CK3853OtherSCRAILROAD MEDICARE
GP3579MedicaidSC

Other names 1

  • The Doc House Doing business as

National Provider Directory

National Provider Directory

Locations

4033 Highway 17
Unit 103
Murrells Inlt, SC 29576
Phone (843) 357-1299

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1780643049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2747",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762662",
            "telephone_number": "843-357-1299",
            "fax_number": "843-357-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 HWY 17 BYPASS",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765016",
            "telephone_number": "843-357-1299",
            "fax_number": "843-357-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LB & KM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "BROOK",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-357-1299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "DO 411",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "MD17689",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK3853",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3579",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Doc House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.