OrganizationActive
Colonial Family Practice, LLC
NPI 1497178131 · Family Medicine Physician · Sumter, SC
Provider details
- NPI number
- 1497178131
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephanie Disher, Credentialing Specialist(803) 773-5227
- License
- 17676 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
698 Bultman Dr
Suite a
Sumter, SC 29150
Phone: (803) 773-5227
Fax: (803) 753-9312
Street-level locationGet directions
Mailing address
325 Broad St
Sumter, SC 29150-4167
Other names (DBA / former)
- Doing business as
- Colonial Family Practice Bultman
Registry dates
- Enumerated
- 2014-01-31
- Last updated
- 2020-12-15
- Certified
- 2020-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.