Corbett, Bernard Augustus

Corbett, Bernard Augustus is an individual health care provider with primary practice located at 151 Peachwood Centre Dr , Spartanburg SC 29301-2575. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Corbett, Bernard Augustus can be contacted via phone (864) 560-9627.

Contact Information

Primary practice address
151 Peachwood Centre Dr Spartanburg SC 29301-2575
Fax: (864) 562-5470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9260 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9260 South Carolina

Profile Details

NPI number 1205889409
LBN Legal business name Corbett, Bernard Augustus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Dec 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205889409 NPPES
South Carolina MEDICAID 092606

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