Individual
DAVID BAEHREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3016 LONGTOWN COMMONS DR STE 100, COLUMBIA, SC 29229-7849
(803) 314-0500
(803) 314-0501
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 314-0500
(803) 314-0501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16167
SC
207P00000X
Emergency Medicine Physician
35-05-5494
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000298686
ANTHEM
OH
01
—
000000372949
ANTHEM
OH
05
—
0685478
—
OH
01
—
341960760030
CARESOURCE
OH
05
—
4433745
—
MI
01
—
727141
BCHP
OH
Enumeration date
03/29/2006
Last updated
12/19/2022
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