Shelly Deanne Brigman in Columbia - Developmental - Behavioral Pediatrics

Shelly Deanne Brigman - NPI 1710917372

Shelly Deanne Brigman is a Developmental - Behavioral Pediatrics in Columbia, South Carolina. Shelly Deanne Brigman practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Shelly Deanne Brigman is 1710917372. The last update date is 2013-11-22.

Shelly Deanne Brigman's current location address is 4605 Monticello Rd, Columbia, South Carolina. You can contact this provider via phone number 8037535590 and fax number 8037535592. The mailing address for Shelly Deanne Brigman is 4605 Monticello Rd, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Shelly Deanne Brigman
Address 4605 Monticello Rd, Columbia, South Carolina
Phone Number 8037535590
Fax Number 8037535592
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1710917372
Provider Enumeration Date 2006-07-03
Last Updated Date 2013-11-22

Provider Mailing Address Detail

Address 4605 Monticello Rd
City Columbia
State South Carolina (SC)
Post Code 2920341560
Phone Number 8037535590
Fax Number 8037535592

Provider's Primary Taxonomy Detail

Speciality Developmental - Behavioral Pediatrics
Taxonomy 2080P0006X
Licence No 23497
Definition:
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 effort

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
234972 SC --

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FAQs about Shelly Deanne Brigman

What is the unique 10-digit identifier code assigned to Shelly Deanne Brigman by the Centers for Medicare & Medicaid Services?

The Shelly Deanne Brigman has been issued the NPI (National Provider Identifier) 1710917372 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Shelly Deanne Brigman's facilities are geographically located?

The facilities of Shelly Deanne Brigman are physically situated at the following location: 4605 Monticello Rd, Columbia, SC, 2920341560.

What is Shelly Deanne Brigman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Shelly Deanne Brigman's area of specialization is Developmental - Behavioral Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 2080P0006X.

On what date did the Centers for Medicare & Medicaid Services assign the 1710917372 to Shelly Deanne Brigman?

The Centers for Medicare & Medicaid Services assigned the 1710917372 to Shelly Deanne Brigman on 2006-07-03.

As of what date were the details related to Shelly Deanne Brigman most recently updated or revised?

The information pertaining to Shelly Deanne Brigman, including its address, specialty, and other relevant details, was last updated or revised on 2013-11-22.

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