PORTERESHICE SHUNTA BRABHAM
NPI 1528309606
Health Maintenance Organization in Fairfax, SC
About Portereshice Shunta Brabham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORTERESHICE SHUNTA BRABHAM (NPI 1528309606) is an individual health maintenance organization provider in Fairfax, South Carolina and active in the NPI registry since March 2013.
NPPES Registry Identity
Specialties & Licenses
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 Portereshice Brabham's NPI number?
The NPI number for Portereshice Brabham is 1528309606. It was assigned to this individual provider in the NPPES registry on March 14, 2013.
Where is Portereshice Brabham located?
Portereshice Brabham practices at 345 Amelia St, Fairfax, SC 29827. The listed phone number is (803) 682-7110.
What is Portereshice Brabham's specialty?
The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.
When was this NPI record last updated?
The NPPES record for Portereshice Brabham was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.