ELECTRA CHANTE BRADSHAW GRAHAM


Address: 300 Palmetto Health Pkwy, Suite 300, Columbia, SC 29212-1759
Phone: 8039077300

ELECTRA CHANTE BRADSHAW GRAHAM (NPI# 1275848897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275848897
Entity Type Individual
Full Name ELECTRA CHANTE BRADSHAW GRAHAM
Credential MD
Practice Address 300 Palmetto Health Pkwy
Suite 300
Columbia
SC 29212-1759
Mailing Address Po Box 743904
Atlanta
GA 30374-3904
Practice Telephone 8039077300
Practice Fax Number 8039077309
Mailing Telephone 8032967320
Mailing Fax Number 8032967330
Enumeration Date 2010-08-09
Last Update Date 2018-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 33080 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 330804 05

Office Location

Street Address 300 PALMETTO HEALTH PKWY
SUITE 300
City COLUMBIA
State SC
Zip Code 29212-1759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548260946 Sharon Lynette Aldrich Obstetrics & Gynecology 300 Palmetto Health Pkwy, Suite 300, Columbia, SC 29212-1759 2005-07-28
1699140988 Palmetto Health Counselor 300 Palmetto Health Pkwy, Ste 118, Columbia, SC 29212-1761 2015-12-11
1720483886 Palmetto Health Plastic Surgery 300 Palmetto Health Pkwy, Suite 103, Columbia, SC 29212-1761 2014-10-30
1396873329 Michelle Buckler Gee Obstetrics & Gynecology 300 Palmetto Health Pkwy, Suite 300, Columbia, SC 29212-1759 2007-03-01
1063487999 Audrey F Miller Specialist 300 Palmetto Health Pkwy, Suite 300, Columbia, SC 29212-1759 2006-02-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245758887 Amanda Gail Holloman Pharmacist 6021 St. Andrews Road, Columbia, SC 29212 2017-09-04
1578080180 Alvin Mitchell Jr. Non-emergency Medical Transport (VAN) 10 Breezewood Court, Columbia, SC 29212 2017-08-24
1467975102 Shelby Clemmer Behavior Technician 2 Harbison Way, Columbia, SC 29212 2017-07-25
1982149019 Showntellem Private Vehicle 336 Foxfire Dr, Columbia, SC 29212 2016-12-28
1902215296 Miranda Willis Adult Day Care, LLC Social Worker 5932 Mcmillian Circle, Columbia, SC 29212 2014-08-12
1013342591 Robert Glendon Long Pediatrics 15 Woodpine Ct, Columbia, SC 29212 2013-09-04
1174969638 Melinda Dumas Crenshaw Psychologist 2800 Ashland Rd., Columbia, SC 29212 2013-05-10
1417209982 Physician Services LLC Internal Medicine 214 Lake Front Drive, Physician Services, Cola, SC 29212 2012-10-09
1306131800 Rocky Mountain Holdings LLC Ambulance 6015 Saint Andrews Rd, Columbia, SC 29212 2011-06-13
1023262839 Candace Anne Aguiar Nurse Anesthetist, Certified Registered 400 Palmetto Health Pkwy, Palmetto Health Baptist Parkridge, Columbia, SC 29212 2008-11-06
Find all providers in zip 29212

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750988036 Lexington Health Inc Obstetrics & Gynecology 700 Gervais St Ste 300, Columbia, SC 29201-3061 2020-10-08
1700403334 Sarah Mai Truong Obstetrics & Gynecology 402 N Keene St # Dc570.00, Columbia, MO 65201-6986 2020-06-30
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1962049593 Michael Wayne Mccullough Obstetrics & Gynecology 500 N Keene St Ste 400, Columbia, MO 65201-8104 2019-12-02
1144881509 Stephanie Barata Obstetrics & Gynecology 402 N Keene St Ste 402, Columbia, MO 65201-6986 2019-06-26
1407411895 Silki Pankajkumar Modi Obstetrics & Gynecology The Women's Center, 1801 Sunseet Drive, Columbia, SC 29203 2019-05-01
1780105080 Jennifer Irene Higdon Obstetrics & Gynecology Women's Center, 1801 Sunset Drive, Columbia, SC 29203 2017-06-28
1184157984 Robert Mcdavid Obstetrics & Gynecology 3609 Arbor Ct, Columbia, MO 65201-6542 2017-04-07
1831548254 Darrah Berck Obstetrics & Gynecology 1601 E Broadway Ste 300, Columbia, MO 65201-8022 2016-06-07
1285013276 Whitney Lynn Shepard Obstetrics & Gynecology 1228 Harden St Ste B, Columbia, SC 29204-1800 2015-05-22
Find all providers in COLUMBIA

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City COLUMBIA
Zip Code 29212

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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