Individual provider Active NPI

Brittney Congdon, M.D.

  • Family Medicine Physician
  • Rock Hill, SC
National Provider Identifier
1871857896
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD91234 Issued in SC
Practice address
1131 Saluda St
Rock Hill, SC 29730-5776
Phone
(803) 325-7744
NPI assigned
Jun 25, 2012
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 35.126031 OH
Family Medicine Physician 207Q00000X MD91234 SC Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 35.126031 OH
Addiction Medicine (Family Medicine) Physician 207QA0401X MD91234 SC

Addresses

Primary practice location

1131 Saluda St
Rock Hill, SC 29730-5776

Mailing address

1131 Saluda St
Rock Hill, SC 29730-5776
Phone (803) 325-7744

Other identifiers 1

IdentifierTypeStateIssuer
0182701MedicaidOH

Other names 1

  • Brittney Becker Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516001757 SC Practitioner - Family PracticePractitioner - Addiction Medicine 7315388717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Northeastern Ohio University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medicine FoundationGroup PAC ID 4880687490, 11 clinicians

Practice addresses (Care Compare)

1131 Saluda St
Rock Hill, SC 29730-5776
Phone (803) 325-7744

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.126031OHMDAddiction Medicine (Family Medicine) Physician
MD91234SCMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Foundation CurrentSince Apr 6, 2024 Accepting new patients
Community Medicine Foundation CurrentSince Apr 6, 2024 Accepting new patients
Community Medicine Foundation Past Accepting new patients

Locations

1131 Saluda St
Rock Hill, SC 29730
Phone (803) 325-7744

Interoperability endpoints

  • Direct secure messaging: brittney.congdon.d2.p1@direct.ncfmc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1871857896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SALUDA ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305776",
            "telephone_number": "803-325-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 SALUDA ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305776",
            "telephone_number": "803-325-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGDON",
        "first_name": "BRITTNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.126031",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD91234",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.126031",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "SC",
            "license": "MD91234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182701",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "BECKER",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.