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Stefan Montgomery MD Family & Sports Medicine, PA

Sports Medicine (Family Medicine) Physician in Orangeburg, SC · enumerated 2007 · authorized official Stefan Montgomery, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083762819

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Registry record

Entity type Organization (Type 2)
Legal business name Stefan Montgomery MD Family & Sports Medicine, PA
Practice address 2850 Pelham Ct, Orangeburg, SC, 29118
Enumeration date Jan 8, 2007
Last updated in NPPES Sep 8, 2008

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Stefan Montgomery
Title Owner

Other identifiers

Identifier Type State Issuer
000000199439 Other SC UNISON
000000199441 Other SC UNISON
DE2500 Medicaid SC -
20059042 Other SC SELECT HEALTH
7455015 Other SC CIGNA
272779 Medicaid SC -
7259579 Other SC AETNA
GP4594 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Stefan Montgomery MD Family & Sports Medicine, PA?
NPPES lists Stefan Montgomery (Owner) as the authorized official for this organization.
What is the NPI number for Stefan Montgomery MD Family & Sports Medicine, PA?
The NPI for Stefan Montgomery MD Family & Sports Medicine, PA is 1083762819, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-09-08.