DAVID M BRADDY (NPI# 1104264928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104264928 |
| Entity Type | Individual |
| Full Name | DAVID M BRADDY |
| Credential | MD |
| Practice Address |
4080 Augusta Hwy Gilbert SC 29054-8893 |
| Mailing Address |
Po Box 6069 West Columbia SC 29171-6069 |
| Practice Telephone | 8038921800 |
| Practice Fax Number | 8038921812 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35706 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
4080 AUGUSTA HWY |
| City | GILBERT |
| State | SC |
| Zip Code | 29054-8893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528091303 | Lexington County Health Services District, Inc. | Family Medicine | 4080 Augusta Hwy, Gilbert, SC 29054-8893 | 2006-07-07 |
| 1891108775 | Kenya A Cooper | Family Medicine | 4080 Augusta Hwy, Gilbert, SC 29054-8893 | 2014-06-09 |
| 1295823771 | Marcia L Taylor | Family Medicine | 4080 Augusta Hwy, Gilbert, SC 29054-8893 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376829374 | Denise G. Derrick | Pharmacist | 4079 Augusta Highway, Suite A, Gilbert, SC 29054 | 2011-10-24 |
| 1821123910 | Morgan's Pharmacy | Durable Medical Equipment & Medical Supplies | 309 Broad St., Gilbert, SC 29054 | 2007-02-22 |
| 1083782825 | Morgan's Pharmacy | Pharmacist | 309 Broad Street, Gilbert, SC 29054 | 2006-12-01 |
| 1992293476 | Ridge Ltc Pharmacy, LLC | Pharmacy | 4079 Augusta Hwy Ste A, Gilbert, SC 29054 | 2018-04-30 |
| 1619002722 | Morgan's Pharmacy, LLC | Pharmacy | 4079 Augusta Hwy Ste A, Gilbert, SC 29054-8322 | 2007-02-22 |
| 1659789238 | Ashlyn Clarke Lander | Pharmacist | 4079 Augusta Hwy Ste A, Gilbert, SC 29054-8322 | 2014-07-28 |
| 1255749834 | Christy Bolin | Pharmacist | 4079 Augusta Hwy Ste A, Gilbert, SC 29054-8322 | 2014-07-28 |
| 1558612564 | Bevin Whitman Metts | Pharmacist | 4079 Augusta Hwy Ste A, Gilbert, SC 29054-8322 | 2012-10-01 |
| 1619281128 | Laura Monts Spears | Speech-Language Pathologist | 520 Main St, Gilbert, SC 29054-8441 | 2010-07-27 |
| 1265838213 | Emily Whittington | Specialist/Technologist | 840 Main St, Gilbert, SC 29054-8443 | 2014-11-18 |
| Find all providers in zip 29054 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458205 | Ruth Cover | Family Medicine | 979 N Gilbert Rd Ste 102, Gilbert, AZ 85234-3307 | 2020-05-12 |
| 1659991461 | Charles Milton Combs IIi | Family Medicine | 3035 E Vernon St, Gilbert, AZ 85298-8757 | 2020-04-22 |
| 1316502750 | Shelley Campbell | Family Medicine | 2721 S San Tan Village Pkwy Ste 104, Gilbert, AZ 85295-0713 | 2019-05-01 |
| 1689136830 | Master Mark Np, Pllc | Family Medicine | 4287 E Michelle Ave, Gilbert, AZ 85234-0117 | 2019-04-04 |
| 1841771904 | Farzam Afshar | Family Medicine | 829 S Adam Way, Gilbert, AZ 85296-1488 | 2018-08-27 |
| 1992295000 | Wade Reynolds | Family Medicine | 3061 E Vallejo Dr, Gilbert, AZ 85298-9059 | 2018-05-14 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1366813602 | Kyle Tisi | Family Medicine | 1489 S. Higley Rd, Suite 101, Gilbert, AZ 85296-4777 | 2015-10-13 |
| 1679857825 | Good Health Medical, P.C. | Family Medicine | 428 S. Gilbert Rd., Suite # 101, Gilbert, AZ 85296-2261 | 2011-10-06 |
| 1073807202 | Punyakam Pllc | Family Medicine | 690 E Warner Rd Ste 133, Gilbert, AZ 85296 | 2011-06-06 |
| Find all providers in GILBERT | ||||
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| 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.