Active NPI
Sierra Culbreath
- Phlebology Physician
- North Charleston, SC
National Provider Identifier
1992522312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- C8E2Z2X6
- Practice address
- 7026 Kenneth Dr
North Charleston, SC 29406-4503 - Phone
- (843) 974-4444
- NPI assigned
- Sep 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | C8E2Z2X6 | SC | Primary |
Addresses
Primary practice location
7026 Kenneth Dr
North Charleston, SC 29406-4503
Mailing address
7026 Kenneth Dr
North Charleston, SC 29406-4503
Phone (843) 974-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C8E2Z2X6 | SC | MD | Phlebology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1992522312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7026 KENNETH DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064503",
"telephone_number": "843-974-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7026 KENNETH DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064503",
"telephone_number": "843-974-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBREATH",
"first_name": "SIERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-25",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Phlebology",
"state": "SC",
"license": "C8E2Z2X6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.