NPIMap

Organization Active NPI

David Budhoo, LLC

  • Internal Medicine Physician
  • Anderson, SC
National Provider Identifier
1881110294
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33401 Issued in SC
Legal business name
DAVID BUDHOO, LLC
Practice address
123 Upper View Ter
Anderson, SC 29625-6240
Phone
(864) 314-9214
Fax
(864) 207-7526
NPI assigned
Aug 17, 2017
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
David Jonathan Budhoo, MDNPI 1821251240
Title
President
Phone
(843) 246-1694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33401 SC Primary

Addresses

Primary practice location

123 Upper View Ter
Anderson, SC 29625-6240

Mailing address

PO Box 1711
Anderson, SC 29622-1711
Phone (864) 314-9214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190603001233 SC Part B Supplier - Clinic/Group Practice 5496088684 Receives reassigned benefits from 8 practitioners
Practice locations: Anderson, SC; Seneca, SC

National Provider Directory

National Provider Directory

Locations

1530 N Fant St
Ste B
Anderson, SC 29621
Phone (843) 246-1694

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1881110294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1711",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296221711",
            "telephone_number": "864-314-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 UPPER VIEW TER",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296256240",
            "telephone_number": "864-314-9214",
            "fax_number": "864-207-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BUDHOO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "BUDHOO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-246-1694",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "33401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.