Roberts, Brian J

Roberts, Brian J is an individual health care provider with primary practice located at 823 82Nd Pkwy , Myrtle Beach SC 29572-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Roberts, Brian J can be contacted via phone (843) 449-1010.

Contact Information

Primary practice address
823 82Nd Pkwy Myrtle Beach SC 29572-4607
Phone: (843) 449-1010
Fax: (843) 497-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD20257 South Carolina

Profile Details

NPI number 1700877909
LBN Legal business name Roberts, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 29th, 2016 - about 8 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 1700877909 NPPES
South Carolina MEDICAID GP1418
South Carolina Other P00360566
South Carolina Other 775189
South Carolina Other 80023046
South Carolina MEDICAID GP4522
South Carolina Other 340015092
South Carolina MEDICAID 6906029

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