DR. SHELLY DEANNE BRIGMAN (NPI# 1710917372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710917372 |
| Entity Type | Individual |
| Full Name | DR. SHELLY DEANNE BRIGMAN |
| Other Name | DR. SHELLY D. HOLSTRUM |
| Credential | M.D. |
| Practice Address |
4605 Monticello Rd Building B Ste.2 Columbia SC 29203-4156 |
| Mailing Address |
Po Box 3788 Columbia SC 29230-3788 |
| Practice Telephone | 8037535590 |
| Practice Fax Number | 8037535592 |
| Mailing Telephone | 8037335969 |
| Mailing Fax Number | 8037535591 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
23497 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 234972 | 05 |
| Street Address |
4605 MONTICELLO RD BUILDING B STE.2 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215937784 | Stuart Arnim Hamilton | Pediatrics | 4605 Monticello Rd, Eau Claire Cooperative Health Center, Columbia, SC 29203-4156 | 2005-07-27 |
| 1558992701 | Milissa Pauling Davis | Nurse Practitioner | 4605 Monticello Rd, Columbia, SC 29203-4156 | 2020-01-27 |
| 1295127868 | Paul Potylicki | Counselor | 4605 Monticello Rd, Bldg B, Ste.1, Columbia, SC 29203-4156 | 2015-02-19 |
| 1497150262 | Ruth-narumi Amador | Counselor | 4605 Monticello Rd, Bldg B, Ste.1, Columbia, SC 29203-4156 | 2014-10-23 |
| 1467795815 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 4605 Monticello Rd, Bldgb, Ste.2, Columbia, SC 29203-4156 | 2013-04-04 |
| 1982951000 | Julie Lynn Brasher | Nurse Practitioner | 4605 Monticello Rd, Columbia, SC 29203-4156 | 2012-08-08 |
| 1700168028 | Donald R Sampson | Internal Medicine | 4605 Monticello Rd, Columbia, SC 29203-4156 | 2011-09-13 |
| 1720367170 | Tonna L Coleman | Physician Assistant | 4605 Monticello Rd, Columbia, SC 29203-4156 | 2011-08-16 |
| 1861798845 | Elizabeth Wagoner Knight | Nurse Practitioner | 4605 Monticello Rd, Columbia, SC 29203-4156 | 2011-02-08 |
| 1265745202 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 4605 Monticello Rd, Bldg A, Ste.1, Columbia, SC 29203-4156 | 2010-07-20 |
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| 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 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023407996 | Eau Claire Cooperative Health Center, Inc. | Pediatrics | 4601 Monticello Road, Columbia, SC 29203 | 2015-01-15 |
| 1417985177 | Lawrence Kenneth Siegel | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2006-06-29 |
| 1457848848 | Prisma Health Medical Group-midlands | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2018-04-20 |
| 1447637798 | University of South Carolina | Pediatrics | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2015-05-06 |
| 1669615332 | Stacey M Cobb | Pediatrics | 9 Richland Medical Park Dr Ste 210, Columbia, SC 29203-6859 | 2009-04-10 |
| 1336178227 | Donald F Wuori | Pediatrics | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-07-02 |
| 1336175603 | Graeme Henry Johnson | Pediatrics | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-06-25 |
| 1194769992 | University Pediatrics | Pediatrics | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134164437 | Tuomey Medical Professionals, Inc | Pediatrics | 250 W Wesmark Blvd, Sumter, SC 29150-1986 | 2006-06-19 |
| 1518917061 | Rae Lynne Hornsby | Pediatrics | 142 Milestone Way, Greenville, SC 29615-5065 | 2006-05-12 |
| 1639127673 | Susan Walden Md Pa | Pediatrics | 55 Alston Rd, Pawleys Island, SC 29585 | 2006-05-04 |
| 1649261462 | Greenwood Genetics Center, Inc. | Pediatrics | 106 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2005-11-01 |
| 1073506333 | Frank Reginald Brown IIi | Pediatrics | 305 E Cheves St, Suite 330, Florence, SC 29506-2610 | 2005-08-23 |
| 1629688171 | Metta Vita Health LLC | Pediatrics | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-08-08 |
| 1114483294 | Samantha Lynn Cliborne | Pediatrics | 2070 Northbrook Blvd Ste B4, North Charleston, SC 29406-9254 | 2019-02-14 |
| 1841644077 | Sara Elizabeth Lilly | Pediatrics | 701 Grove Rd Fl 5, Greenville, SC 29605-4210 | 2016-04-13 |
| 1073875670 | Silvia Pereira-smith | Pediatrics | 171 Ashley Ave, Charleston, SC 29425 | 2012-06-11 |
| 1972810539 | Anacani Fonseca | Pediatrics | 135 Rutledge Ave, Msc 567, Charleston, SC 29425-8903 | 2010-09-02 |
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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.