Active NPI
Angus McKay Brabham III, MD
- Rheumatology Physician
- Columbia, SC
National Provider Identifier
1841263910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 6734
- Practice address
- 3 Richland Medical Park
Suite 240
Columbia, SC 29203 - Phone
- (803) 765-1550
- Fax
- (803) 771-4379
- NPI assigned
- Feb 9, 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 6734 | SC | Primary |
Addresses
Primary practice location
3 Richland Medical Park
Suite 240
Columbia, SC 29203
Mailing address
3 Richland Medical Park
Suite 240
Columbia, SC 29203
Phone (803) 765-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0048 | Medicaid | SC |
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 |
|---|---|---|---|
| 6734 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1841263910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 RICHLAND MEDICAL PARK",
"address_2": "SUITE 240",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-765-1550",
"fax_number": "803-771-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 RICHLAND MEDICAL PARK",
"address_2": "SUITE 240",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-765-1550",
"fax_number": "803-771-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRABHAM",
"first_name": "ANGUS",
"middle_name": "MCKAY",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-09",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "SC",
"license": "6734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0048",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.