Active NPI
Bassam E Haddad, M.D.
- Family Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31026
- Practice address
- 2076 Woodruff Rd
Greenville, SC 29607-5939 - Phone
- (864) 373-7246
- NPI assigned
- Jul 18, 2008
- 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 | 31026 | SC | Primary |
Addresses
Primary practice location
2076 Woodruff Rd
Greenville, SC 29607-5939
Mailing address
1120 Sparkleberry Lane Ext Ste a
Columbia, SC 29223-7078
Phone (803) 851-0605
Other practice location 1
129 S Broad St
Clinton, SC 29325-2543
Phone (864) 547-1294
Other practice location 2
400 N Fant St Ste E
Anderson, SC 29621-5720
Phone (864) 328-9250
Other practice location 3
1120 Sparkleberry Lane Ext Ste A
Columbia, SC 29223-7078
Phone (803) 851-0605
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31026 | Other | SC | MED LICENSE |
| PG1133 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Sparkleberry Lane Ext
Suite a
Columbia, SC 29223-7078
Phone (803) 851-0605
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31026 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Family Health LLC | Family Medicine | Current | Accepting new patients |
| Woodruff Road Urgent Care Center, P.C. | Past | Accepting new patients |
Locations
400 N Fant St
Ste E
Anderson, SC 29621
Phone (864) 224-8883
129 S Broad St
Clinton, SC 29325
Phone (864) 547-1294
1120 Sparkleberry Lane Ext
Ste A
Columbia, SC 29223
Phone (276) 613-4111
2076 Woodruff Rd
Greenville, SC 29607
Phone (864) 261-9506
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Columbia, SC
- NPI 1851038749
-
- Primary Care Clinic/Center
- Powdersville, SC
- NPI 1205475001
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Greenville, SC
- NPI 1598793192
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1790949790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 SPARKLEBERRY LANE EXT STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292237078",
"telephone_number": "803-851-0605",
"fax_number": "866-291-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2076 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075939",
"telephone_number": "864-373-7246"
}
],
"practiceLocations": [
{
"address_1": "129 S Broad St",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "SC",
"postal_code": "293252543",
"country_code": "US",
"telephone_number": "864-547-1294",
"fax_number": "866-291-3617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N Fant St Ste E",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296215720",
"country_code": "US",
"telephone_number": "864-328-9250",
"fax_number": "866-291-3617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 Sparkleberry Lane Ext Ste A",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292237078",
"country_code": "US",
"telephone_number": "803-851-0605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HADDAD",
"first_name": "BASSAM",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-18",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "31026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED LICENSE",
"identifier": "31026",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PG1133",
"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 Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.