Active NPI
Bobby Eugene McBride, D.D.S.
- Dentist
- Chapin, SC
National Provider Identifier
1053775783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1335
- Practice address
- 156 Birdsong TRL
Chapin, SC 29036-9301 - Phone
- (803) 960-6574
- NPI assigned
- Apr 8, 2016
- Last updated
- Apr 8, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1335 | SC | Primary |
Addresses
Primary practice location
156 Birdsong TRL
Chapin, SC 29036-9301
Mailing address
156 Birdsong TRL
Chapin, SC 29036-9301
Phone (803) 960-6574
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1335 | SC | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1053775783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 BIRDSONG TRL",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290369301",
"telephone_number": "803-960-6574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 BIRDSONG TRL",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290369301",
"telephone_number": "803-960-6574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "BOBBY",
"middle_name": "EUGENE",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-08",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "1335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.