KIMBERLY SUE BREGENZER


Address: 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862
Phone: 8034348323

KIMBERLY SUE BREGENZER (NPI# 1073095683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073095683
Entity Type Individual
Full Name KIMBERLY SUE BREGENZER
Credential FNP
Practice Address 3 Richland Medical Park Dr Ste 310
Columbia
SC 29203-6862
Mailing Address Po Box 743904
Atlanta
GA 30374-3904
Practice Telephone 8034348323
Practice Fax Number 8034348326
Mailing Telephone 8032967320
Mailing Fax Number 8032967330
Enumeration Date 2018-08-30
Last Update Date 2018-12-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 22126 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC NP5438 05

Office Location

Street Address 3 RICHLAND MEDICAL PARK DR STE 310
City COLUMBIA
State SC
Zip Code 29203-6862

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760584981 Coleman S Fravel Physician Assistant 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 2006-09-01
1477194306 Kelsey Fearing Nurse Practitioner 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 2019-10-02
1992362545 Ivery Bonita Reed Nurse Practitioner 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 2019-05-20
1790349330 Chandler Tyler Physician Assistant 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 2019-04-29
1770040776 Tanisha Leann Dawkins Nurse Practitioner 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 2019-02-26
1013490911 Tanyatta Lane King Nurse Practitioner 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 2018-09-07
1952899627 Palmetto Health - University of South Carolina Medical Group Neurological Surgery 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 2018-04-27
1255836995 Anita Dixon Nurse Practitioner 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 2018-03-26
1184140543 Ansleigh Claire Morrow Nurse Practitioner 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203 2017-08-17
1376066159 Samuel Edward Watts Nurse Practitioner 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 2017-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518319136 Joseph Patrick Herbert Neurological Surgery One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 2016-07-07
1144571373 O. Gerald Orth Neurological Surgery 2404 Beachview Dr, Columbia, MO 65203-1409 2012-09-27
1679754360 Massimo S Fiandaca Md Pa Neurological Surgery 11055 Little Patuxent Pkwy # 209, Columbia, MD 21044 2007-11-21
1497712285 Burke Hood Dial Neurological Surgery 3 Richland Medical Park Rd, Suite 310, Columbia, SC 29203 2006-04-27
1336144245 Mark A Cobb Neurological Surgery 1222 Trotwood Ave, Suite 302, Columbia, TN 38401-6436 2005-06-16
1952899627 Palmetto Health - University of South Carolina Medical Group Neurological Surgery 3 Richland Medical Park Dr Ste 310, Columbia, SC 29203-6862 2018-04-27
1033657275 Midlands Orthopaedics and Neurosurgery, Pa Neurological Surgery 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 2017-02-08
1518349588 Patrick Belton Neurological Surgery 1 Hospital Dr # Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212-1000 2015-06-25
1699193748 Sarah Travers Neurological Surgery 1 Hospital Dr, Mc326 Mchaney Hall, Columbia, MO 65212-1000 2014-04-04
1073858825 Palmetto Health Neurological Surgery 3 Richland Medical Park Dr, Suite 310, Columbia, SC 29203-6849 2012-12-05
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Competitor

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City COLUMBIA
Zip Code 29203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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