David Du Bose Egleston, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

7056 Issued in SC

Practice address

418 Folly Rd
Suite a
Charleston, SC 29412

Phone

(843) 795-5362

Fax

(843) 795-1921

NPI assigned

Mar 23, 2006

Last updated

Aug 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• David D. Egleston MD, PA

  • Adult Medicine Physician
  • Charleston, SC
  • NPI 1821268384
  Authorized official Same address or phone
• Lowcountry Medical Associates

  dba Moncks Corner Primary Care

  • Internal Medicine Physician
  • Moncks Corner, SC
  • NPI 1790735975
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1942260187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13955",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223955",
            "telephone_number": "843-795-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 FOLLY RD",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29412",
            "telephone_number": "843-795-5362",
            "fax_number": "843-795-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGLESTON",
        "first_name": "DAVID",
        "middle_name": "DU BOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "SC",
            "license": "7056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6738",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070568",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00247623",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "202583825",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra L Effken, PHARM D
• Jamal Egbaria, MD
• Katie Mantie Egbers, PA
• Amber Egbert, O.D.
• Maria F Egidi, MD
• Ashley Ehlers-Isenhower, FNP
• Julie A Ehret, PHARMD
• Anna Fulghum Ehrhardt, MD
• Elizabeth Ann Eich, MD
• Josef Karl Eichinger, MD

• Adult Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Adult Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.