Coastal Carolina Mobile Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25249 Issued in SC

Legal business name

COASTAL CAROLINA MOBILE PHYSICIANS

Practice address

1272 Crooked Oak Dr
Pawleys Island, SC 29585-8076

Phone

(843) 344-1040

Fax

(843) 237-9822

NPI assigned

Mar 5, 2013

Last updated

Mar 5, 2013By 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

Dr. Edward Scott Brumfield, MD

Title

Owner

Phone

(843) 344-1040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1871834507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 CROOKED OAK DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858076",
            "telephone_number": "843-344-1040",
            "fax_number": "843-237-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 CROOKED OAK DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858076",
            "telephone_number": "843-344-1040",
            "fax_number": "843-237-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CAROLINA MOBILE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "BRUMFIELD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-344-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "25249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Mazurkiewicz Chavez, FNP-BC
• Christopher T Crosby DPM
• Jason Franklin Clemons, LPC
• Franklin E Clemons, Jr., L.P.C.
• Katherine Close, MD
• Coastal Chiropractic Clinic
• Coastal Ear Nose & Throat PC
• Coastal Endontics, LLC
• Coastal Hearing Center Inc
• Coastal Home Care (American HomePatient)

• Family Medicine Physician in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.