BROAD RIVER PRIMARY CARE LLC (NPI# 1962795989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962795989 |
| Entity Type | Organization |
| Organization Name | BROAD RIVER PRIMARY CARE LLC |
| Other Organization Name | HILTON HEAD PRIMARY CARE |
| Practice Address |
35 Bill Fries Dr Island Medical Plaza Building A Hilton Head Island SC 29926-2730 |
| Mailing Address |
Po Box 741720 Atlanta GA 30374-1720 |
| Practice Telephone | 8436827470 |
| Practice Fax Number | 8436822042 |
| Mailing Telephone | 8436827470 |
| Mailing Fax Number | 8436822042 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hilton Head Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518368307 | Broad River Primary Care LLC | Internal Medicine | 25 Hospital Center Blvd, Suite 303a, Hilton Head, SC 29926-2738 | 2014-09-11 |
| Street Address |
35 BILL FRIES DR ISLAND MEDICAL PLAZA BUILDING A |
| City | HILTON HEAD ISLAND |
| State | SC |
| Zip Code | 29926-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750316436 | James F Gigante | Internal Medicine | 35 Bill Fries Dr, Building H, Hilton Head Island, SC 29926-2730 | 2006-07-11 |
| 1053738864 | Amy Royal | Pharmacist | 35 Bill Fries Dr, Building F, Hilton Head Island, SC 29926-2730 | 2014-03-19 |
| 1326399809 | Jacqueline Nicole Woodcock | Physician Assistant | 35 Bill Fries Dr, Bldg L, Hilton Head Island, SC 29926-2730 | 2012-09-25 |
| 1265750525 | Clemson Sports Medicine and Rehabilitation Inc | Durable Medical Equipment & Medical Supplies | 35 Bill Fries Dr, Building K, Hilton Head Island, SC 29926-2730 | 2010-05-12 |
| 1033448758 | Hilton Head Island Oral and Maxillofacial Surgery | Dentist | 35 Bill Fries Dr, Hilton Head Island, SC 29926-2730 | 2009-12-08 |
| 1073770541 | Dr. Nicholas E. Mihelic, P.a. | Orthopaedic Surgery | 35 Bill Fries Dr, Building A Island Medical Plaza, Hilton Head Island, SC 29926-2730 | 2008-05-21 |
| 1184890048 | Kathy L Ballowe | Physical Therapy Assistant | 35 Bill Fries Dr, Suite K, Hilton Head Island, SC 29926-2730 | 2008-05-01 |
| 1962689471 | Charmaine Christine Orton | Nurse Practitioner | 35 Bill Fries Dr, Hilton Head Island, SC 29926-2730 | 2008-01-28 |
| 1780897272 | Hilton Head Island Plastic Surgery, LLC | Surgery | 35 Bill Fries Dr, Island Medical Plaza, Bldg E, Hilton Head Island, SC 29926-2730 | 2007-05-08 |
| 1629138052 | Brian Low | Dentist | 35 Bill Fries Dr, Hilton Head Island, SC 29926-2730 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 1114443728 | Rehabcare Group East, LLC | Clinic/Center | 421 Squire Pope Rd, Hilton Head Island, SC 29926 | 2017-08-15 |
| 1043734429 | Laura Ann Elizabeth Mccall | Nurse Practitioner | Dba Ltc Health Solutions, 110 Gardner Dr, Hilton Head Island, SC 29926 | 2017-07-27 |
| 1508286014 | Johan Schutz | Pharmacist | 20 Hanahan Ln, Hilton Head Island, SC 29926 | 2014-04-23 |
| 1740614460 | Tcg Medical Specialists LLC | Emergency Medicine | 19 Moss Creek Village Ste. B4, St. Joseph's/candler Hyperbarics and Wound Care, Hilton Head Island, SC 29926 | 2013-08-29 |
| 1215288790 | Collin George | Physical Therapist | 250 Ladyslipper Lane, Hilton Head, SC 29926 | 2012-09-25 |
| 1508136698 | Podiatry Associates of Hilton Head Pa | Podiatrist | 88 D Main Street, Hilton Head Island, SC 29926 | 2012-01-05 |
| 1467689646 | Moss Creek Sport & Spine Institute Promp Care, LLC | Clinic/Center | 15 Moss Creek Village, Hilton Head, SC 29926 | 2009-06-16 |
| 1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
| Find all providers in zip 29926 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053943555 | Rafael D Sanchez Medical Services LLC | Internal Medicine | 17 Field Sparrow Rd, Hilton Head Island, SC 29926-1812 | 2020-02-12 |
| 1841832995 | Asclepius Medical PC | Internal Medicine | 9 Mimosa St, Hilton Head Island, SC 29928-5529 | 2019-10-10 |
| 1043632896 | William Bunn | Internal Medicine | 137 Coggins Point Rd, Hilton Head Island, SC 29928-3809 | 2014-01-14 |
| 1205016953 | Roger Kenneth Hershline | Internal Medicine | 3 Pender Ln, Hilton Head Island, SC 29928-5905 | 2007-11-10 |
| 1871687665 | William I Petty II | Internal Medicine | 3901 Main St Ste A, Hilton Head Island, SC 29926-4613 | 2006-10-03 |
| 1629188628 | Joseph T Hickey | Internal Medicine | 30 New Orleans Rd, Hilton Head Island, SC 29928-4715 | 2006-08-30 |
| 1750316436 | James F Gigante | Internal Medicine | 35 Bill Fries Dr, Building H, Hilton Head Island, SC 29926-2730 | 2006-07-11 |
| 1811984966 | Charles Patrick Burns | Internal Medicine | 15 Northridge Dr, Hilton Head Island, SC 29926-3764 | 2005-10-04 |
| 1952301939 | Andrew S Binamira | Internal Medicine | 800 Main St Ste 120, Hilton Head Island, SC 29926-1657 | 2005-07-29 |
| 1639570799 | Onecare Clinic, LLC | Internal Medicine | 800 Main St, Suite 120, Hilton Head Island, SC 29926-1656 | 2014-09-09 |
| Find all providers in HILTON HEAD ISLAND | ||||
| City | HILTON HEAD ISLAND |
| Zip Code | 29926 |
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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.