Provider Demographics
NPI:1215927462
Name:ALLERGY PARTNERS, PLLC
Entity type:Organization
Organization Name:ALLERGY PARTNERS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-277-1300
Mailing Address - Street 1:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-350-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:48 CREEKVIEW CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4800
Practice Address - Country:US
Practice Address - Phone:864-458-7431
Practice Address - Fax:864-458-7463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-27
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC6910OtherMEDICARE PTAN
SCGP6901Medicaid
SCGP6903Medicaid
SCGP6902Medicaid
SCGP3093Medicaid
=========OtherTIN
SC=========004OtherTRICARE
SC=========027OtherBCBS
SC6910OtherMEDICARE PTAN
SCGP3096Medicaid
SC=========023OtherTRICARE
SCGP3183Medicaid
SC=========023OtherBCBS
SC=========024OtherBCBS
SC6909Medicare PIN
SC=========024OtherBCBS