Kulbersh Surgery Center, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

9733 Issued in SC

Legal business name

KULBERSH SURGERY CENTER, LLC

Practice address

1 Wellness Blvd.
Suite 203
Irmo, SC 29063-2873

Phone

(803) 732-4608

Fax

(803) 732-4692

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

David L Kulbersh, M.D.

Title

President

Phone

(803) 732-4692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1952585804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD.",
            "address_2": "SUITE 203",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632873",
            "telephone_number": "803-732-4608",
            "fax_number": "803-732-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WELLNESS BLVD.",
            "address_2": "SUITE 203",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632873",
            "telephone_number": "803-732-4608",
            "fax_number": "803-732-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULBERSH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "KULBERSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-732-4692",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "9733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Kirch
• Leslie Kline, FNP
• Magdalena Klus, DMD
• Amy Krebs, ATS
• Joseph John Kukucka, FNP
• Kulbersh Women'S Center, LLC
• David L Kulbersh, M.D
• Delecia R Lafrance, MD
• Shannon Lafrance, MS
• Lake Murray Chiropractic LLC

• Gynecology Physician in Irmo, SC
• Providers in Irmo, SC by specialty
• Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.