Broad River Primary Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BROAD RIVER PRIMARY CARE LLC

Practice address

35 Bill Fries Dr
Island Medical Plaza Building a
Hilton Head Island, SC 29926-2730

Phone

(843) 682-7470

Fax

(843) 682-2042

NPI assigned

May 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Wesley O. James

Title

Regional Cfo, Tenet

Phone

(404) 265-5009

Specialties & licenses 2

Addresses

Other names 1

• Hilton Head Primary Care Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Sean Luther, M.D.

  • Internal Medicine Physician
  • Hilton Head Island, SC
  • NPI 1033193024
  NPD (past)
• Amanda Leigh Parks, M.D.

  • Infectious Disease Physician
  • Charleston, SC
  • NPI 1801058474
  NPD (past)

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1962795989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741720",
            "telephone_number": "843-682-7470",
            "fax_number": "843-682-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BILL FRIES DR",
            "address_2": "ISLAND MEDICAL PLAZA BUILDING A",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262730",
            "telephone_number": "843-682-7470",
            "fax_number": "843-682-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD RIVER PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilton Head Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Elizabeth Brandt, M.S. CF-SLP
• Kiersten Breisch, PT, DPT
• Jenae Bretsch, OTR/L
• William John Brian, M.D.
• Scott Briant
• Rick Thomas Brooke, NBS,HIS
• Jacquelyn Brown, LPN
• Sharon Marley Brown, OTR
• Charles Buist, D.M.D.
• David P Burke, RPH

• Internal Medicine Physician in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.