Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel Boram Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730317397

Dr. Daniel Boram Park, MD is a Pediatric Medicine in Charleston, South Carolina. Graduated from Virginia Commonwealth University, School of Medicine in 2009, 17 years ago. Practices with University of North Carolina at Chapel Hill, a 2,079-clinician group and accepts Medicare assignment. Licensed in Connecticut and South Carolina.

Years since qualifying
17
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
CT, SC
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Charleston, SC

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 34501 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CT)
Pediatrics Physician Taxonomy 208000000X · Licence 34501 (SC)

Record details

NPI number1730317397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESJanuary 18, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice University Of North Carolina At Chapel Hill — 2079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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