Provider Demographics
NPI:1295745073
Name:WEST, DARREN R (MD)
Entity type:Individual
Prefix:
First Name:DARREN
Middle Name:R
Last Name:WEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2197
Mailing Address - Country:US
Mailing Address - Phone:864-820-9119
Mailing Address - Fax:864-820-9117
Practice Address - Street 1:201 N MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-2197
Practice Address - Country:US
Practice Address - Phone:864-820-9119
Practice Address - Fax:864-820-9117
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32920207P00000X
SC85738207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ79609Medicare PIN
AZZ79609Medicare PIN