Active NPI
Robert Osborne Brown Jr., MD
- Ophthalmology Physician
- Clemson, SC
National Provider Identifier
1003216540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD5680
- Practice address
- 400 Ridgecrest Dr
Clemson, SC 29631-1896 - Phone
- (864) 654-6625
- NPI assigned
- Sep 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD5680 | SC | Primary |
Addresses
Primary practice location
400 Ridgecrest Dr
Clemson, SC 29631-1896
Mailing address
400 Ridgecrest Dr
Clemson, SC 29631-1896
Phone (864) 654-6625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD5680 | SC | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1003216540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RIDGECREST DR",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296311896",
"telephone_number": "864-654-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 RIDGECREST DR",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296311896",
"telephone_number": "864-654-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ROBERT",
"middle_name": "OSBORNE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-03",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "MD5680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clemson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.