NPIMap

Organization Active NPI

South East Neurology, LLC

  • Neurology Physician
  • Sumter, SC
National Provider Identifier
1801055173
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
965 Issued in SC
Legal business name
SOUTH EAST NEUROLOGY, LLC
Practice address
308 W Wesmark Blvd
Sumter, SC 29150-1977
Phone
(803) 905-1200
Fax
(803) 905-1205
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Robert Frank Ulrich, D.O.
Title
Owner
Phone
(803) 905-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 965 SC Primary

Addresses

Primary practice location

308 W Wesmark Blvd
Sumter, SC 29150-1977

Mailing address

308 W Wesmark Blvd
Sumter, SC 29150-1977
Phone (803) 905-1200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1801055173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501977",
            "telephone_number": "803-905-1200",
            "fax_number": "803-905-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501977",
            "telephone_number": "803-905-1200",
            "fax_number": "803-905-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-905-1200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.