COLONIAL FAMILY PRACTICE BULTMAN – NPI #1497178131
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

COLONIAL FAMILY PRACTICE BULTMAN is a provider located in SUMTER, SC. NPPES has assigned the NPI number 1497178131 to COLONIAL FAMILY PRACTICE BULTMAN on January 31, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COLONIAL FAMILY PRACTICE BULTMAN” is a dba name, the actual legal business name for this organization is COLONIAL FAMILY PRACTICE, LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Dec 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COLONIAL FAMILY PRACTICE BULTMAN below.

NPI Profile for
COLONIAL FAMILY PRACTICE, LLC

NPI Number
1497178131
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLONIAL FAMILY PRACTICE, LLC
Doing Business As (dba): COLONIAL FAMILY PRACTICE BULTMAN
Primary location
698 BULTMAN DR
SUITE A
SUMTER, SC 29150
Phone: (803) 773-5227 Fax: (803) 753-9312
Mailing address
325 BROAD ST
SUITE 100
SUMTER, SC 29150-4167
Phone: (803) 773-5227 Fax: (803) 753-9312
Organization Subpart
No
Authorized Official
STEPHANIE DISHER
CREDENTIALING SPECIALIST
Phone: (803) 773-5227
Updated
Certification Date
Dec 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for COLONIAL FAMILY PRACTICE BULTMAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCLIASC42D2126583
MEDICAIDSCGP3564
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 SC 17676

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.