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Individual

DR. REGINALD CHRISTOPHER BROOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2093 HENRY TECKLENBURG DR STE 200E, CHARLESTON, SC 29414-5742
(843) 958-2500
(843) 958-2680
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
22878
SC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
22878
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17550559373
NPPES - GROUP NPI #
01
1801801253
NPPES - INDIVIDUAL NPI #
01
20-8933998
IRS - GROUP TAX ID #
01
20081903
SELECT HEALTH
SC
05
228783
SC
01
8945
MEDICARE GROUP PTAN #
SC
Enumeration date
07/31/2006
Last updated
12/03/2025
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