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

Samuel Holbrook Halverson, PA-C

Individual provider Medical Physician Assistant · NPI 1639257025

Samuel Holbrook Halverson, PA-C is a Medical Physician Assistant in Charleston AFB, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

204 W Hill Blvd
Charleston AFB, SC 29404-4704
Phone: (951) 313-7307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2925 (SC)

Record details

NPI number1639257025
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESApril 27, 2018