Healthcare Provider Details

I. General information

NPI: 1851464457
Provider Name (Legal Business Name): THE INSTITUTE FOR NEURODEVELOPMENTAL PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E CHEVES ST MCLEOD MEDICAL PARK WEST, SUITE 330
FLORENCE SC
29506-2610
US

IV. Provider business mailing address

305 E CHEVES ST MCLEOD MEDICAL PARK WEST, SUITE 330
FLORENCE SC
29506-2610
US

V. Phone/Fax

Practice location:
  • Phone: 843-777-5770
  • Fax: 843-777-5772
Mailing address:
  • Phone: 843-777-5770
  • Fax: 843-777-5772

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number12114
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License Number12114
License Number StateSC

VIII. Authorized Official

Name: DR. FRANK R BROWN III
Title or Position: DIRECTOR
Credential: M.D.
Phone: 843-777-5770