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

Ibrahim Isa

Individual provider Emergency Medicine Physician · NPI 1760896823

Ibrahim Isa is an Emergency Medicine in Charleston, South Carolina. Qualified in 2014, 12 years ago. Practices with Acs Primary Care Physicians - Southeast PC, a 410-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
12
Licensed in
SC
In the registry since
2014
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Practice location Address checks out

169 Ashley Ave Rm 202 Msc 333
Charleston, SC 29425-8905
Phone: (843) 792-9705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence LL36898 (SC)

Record details

NPI number1760896823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 17, 2014
Last updated in NPPESJune 17, 2014

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Acs Primary Care Physicians - Southeast Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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