Brodie Eden Mckoy in Mt Pleasant - Sports Medicine
Brodie Eden Mckoy - NPI 1598777864
Brodie Eden Mckoy is a Sports Medicine in Mt Pleasant, South Carolina. Brodie Eden Mckoy practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Brodie Eden Mckoy is 1598777864. The last update date is 2023-03-07.
Brodie Eden Mckoy's current location address is 851 Leonard Fulghum Blvd, Mt Pleasant, South Carolina. You can contact this provider via phone number 8439719750 and fax number 8439719351. The mailing address for Brodie Eden Mckoy is 851 Leonard Fulghum Blvd, Mt Pleasant, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brodie Eden Mckoy |
|---|---|
| Address | 851 Leonard Fulghum Blvd, Mt Pleasant, South Carolina |
| Phone Number | 8439719750 |
| Fax Number | 8439719351 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598777864 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 851 Leonard Fulghum Blvd |
|---|---|
| City | Mt Pleasant |
| State | South Carolina (SC) |
| Post Code | 294643787 |
| Phone Number | 8439719750 |
| Fax Number | 8439719351 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 20250 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20250 | SC | STATE LICENSE | |
| 54413 | GA | STATE LICENSE | |
| 202505 | SC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Brodie Eden Mckoy by the Centers for Medicare & Medicaid Services?
The Brodie Eden Mckoy has been issued the NPI (National Provider Identifier) 1598777864. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brodie Eden Mckoy located?
The Brodie Eden Mckoy is located at 851 Leonard Fulghum Blvd, Mt Pleasant, SC 294643787.
What is Brodie Eden Mckoy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brodie Eden Mckoy's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0005X.
When did Brodie Eden Mckoy receive its 1598777864 assignment?
The Brodie Eden Mckoy was assigned its 1598777864 on 2006-08-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Brodie Eden Mckoy last refreshed?
The information related to the Brodie Eden Mckoy, including its address, specialty, and other relevant details, was last updated on 2023-03-07.