BRH - KINGSTREE
NPI 1497798599
Family Medicine in Kingstree, SC

Q: What is Black River Healthcare, Inc.'s NPI number?

The NPI number for Black River Healthcare, Inc. is 1497798599. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is also known as Brh - Kingstree.

Q: What is Black River Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 14, 2006

520 THURGOOD MARSHALL BLVD., SUITE B, KINGSTREE, SC 29556(843) 355-5628(843) 355-6072 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brh - Kingstree NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRH - KINGSTREE (NPI 1497798599) is a healthcare organization registered as a family medicine in Kingstree, South Carolina and active in the NPI registry since June 2006. The organization lists Barbara Brooks, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1497798599

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameBLACK RIVER HEALTHCARE, INC.

Location Address520 THURGOOD MARSHALL BLVD., SUITE BKingstree, SC 29556

Mailing Address12 W South StManning, SC 29102-2925 · (803) 433-1216 · Fax (803) 433-6796

Phone(843) 355-5628

Fax(843) 355-6072

Organization SubpartYes

Authorized OfficialBarbara BrooksChief Executive Officer · (803) 433-1216

Enumeration DateJune 14, 2006

Last NPPES UpdateApril 8, 2008

✔ NPI 1497798599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

520 THURGOOD MARSHALL BLVD., Kingstree, SC 29556

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Other Names 1

Other NameBrh - Kingstree

Other Identifiers 3

Medicare OSCAR/certification421853SC

Other4397SC · Medicare Part B

Medicare ID-Type Unspecified4397SC · Kingstree Medicare Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black River Healthcare, Inc.'s NPI number?

The NPI number for Black River Healthcare, Inc. is 1497798599. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is also known as Brh - Kingstree.

Where is Black River Healthcare, Inc. located?

Black River Healthcare, Inc. is located at 520 Thurgood Marshall Blvd. Suite B, Kingstree, SC 29556. The listed phone number is (843) 355-5628.

What is Black River Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Black River Healthcare, Inc. was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.