Active NPIIndividual provider

Joyce M Brackebusch, MD

Otolaryngology in West Columbia, South Carolina

NPI Number1710065271
Practice location
146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800
Fax
803-936-7532
Last updated
January 17, 2024

Joyce M Brackebusch, MD is a Otolaryngology based in West Columbia, SC. Joyce M Brackebusch, MD holds the professional credentials of MD. The NPI number for Joyce M Brackebusch, MD is 1710065271 and holds license No. MD20476 (OR). The current practice location address is 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 and the office can be reached by phone at 803-936-7530 and by fax at 803-936-7532. The NPI was assigned on November 1, 2006 and the record was last updated in NPPES on January 17, 2024.

●Provider Profile Details

NPI Number
1710065271
Provider Name
Joyce M Brackebusch
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
No
Enumeration Date
November 1, 2006
Last Update Date
January 17, 2024
Certification Date
January 17, 2024
NPI Status
Active

◉Business Practice Location Address

Address
146 E Hospital Dr Ste 200
West Columbia, SC 29169-4800
ZIP
29169-4800
Country
US
Phone Number
803-936-7530
Fax Number
803-936-7532

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✉Business Mailing Address

Address
Po Box 6069
West Columbia, SC 29171-6069
City
West Columbia
State
SC
ZIP
29171-6069
Phone Number
803-791-2000

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Otolaryngology207Y00000XYesMD20476OR
Otolaryngology207Y00000XNo89330SC

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Joyce M Brackebusch, MD?

The NPI number of Joyce M Brackebusch, MD is 1710065271. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Joyce M Brackebusch, MD?

Joyce M Brackebusch, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X) and holds license No. MD20476 (OR).

Where does Joyce M Brackebusch, MD practice?

The practice location is 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800. The office can be reached at 803-936-7530 (phone) or 803-936-7532 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710065271 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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