Kulbersh Women's Center, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

KULBERSH WOMEN'S CENTER, LLC

Practice address

1 Wellness Blvd
Suite 203
Irmo, SC 29063-2871

Phone

(803) 732-4608

Fax

(803) 732-4692

NPI assigned

Sep 22, 2006

Last updated

Aug 22, 2020By 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

David L Kulbersh, M.D.NPI 1194839969

Title

President

Phone

(803) 732-4608

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• David L Kulbersh, M.D

  • Specialist
  • Irmo, SC
  • NPI 1194839969
  Authorized official Same address or phone

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790885747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD",
            "address_2": "SUITE 203",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632871",
            "telephone_number": "803-732-4608",
            "fax_number": "803-732-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD",
            "address_2": "SUITE 203",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632871",
            "telephone_number": "803-732-4608",
            "fax_number": "803-732-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULBERSH WOMEN'S CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULBERSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-732-4608",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3794",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Kline, FNP
• Magdalena Klus, DMD
• Amy Krebs, ATS
• Joseph John Kukucka, FNP
• Kulbersh Surgery Center, LLC
• David L Kulbersh, M.D
• Delecia R Lafrance, MD
• Shannon Lafrance, MS
• Lake Murray Chiropractic LLC
• Lake Murray Health and Wellness, LLC (Lake Murray Drug Company of Irmo)

• Gynecology Physician in Irmo, SC
• Providers in Irmo, SC by specialty
• Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.