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
Phone: (864) 560-9627
Fax: (864) 562-5470
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205889409 | NPPES |
| South Carolina | MEDICAID | 092606 |
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