Healthcare Provider Details

I. General information

NPI: 1376987669
Provider Name (Legal Business Name): JOSHUA BERNARD CONEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 FOREST DR
COLUMBIA SC
29204-2026
US

IV. Provider business mailing address

2435 FOREST DR
COLUMBIA SC
29204-2026
US

V. Phone/Fax

Practice location:
  • Phone: 803-409-7190
  • Fax:
Mailing address:
  • Phone: 803-409-7190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA134799
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number84770
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License Number84770
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: