Individual provider Active NPI

Anna Brunson Price, MD

  • General Practice Physician
  • Bowman, SC
National Provider Identifier
1922028109
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14255 Issued in SC
Practice address
106 Causeway Dr
Bowman, SC 29018-0306
Phone
(803) 829-2523
Fax
(803) 829-3369
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14255 SC Primary

Addresses

Primary practice location

106 Causeway Dr
Bowman, SC 29018-0306

Mailing address

PO Box 306
106 Causeway Dr
Bowman, SC 29018-0306
Phone (803) 829-2523

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
I20080820000182 SC Practitioner - General PracticePractitioner - Family Practice 7012082423 Practice locations: Bowman, SC

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14255SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922028109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "address_2": "106 CAUSEWAY DR",
            "city": "BOWMAN",
            "state": "SC",
            "postal_code": "290180306",
            "telephone_number": "803-829-2523",
            "fax_number": "803-829-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CAUSEWAY DR",
            "city": "BOWMAN",
            "state": "SC",
            "postal_code": "290180306",
            "telephone_number": "803-829-2523",
            "fax_number": "803-829-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ANNA",
        "middle_name": "BRUNSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "SC",
            "license": "14255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowman, SC

Sources for this page

Verify at the official NPI Registry.