Organization Active NPI

Palmetto Bone and Joint

  • Orthopaedic Surgery Physician
  • Newberry, SC
National Provider Identifier
1104472109
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PALMETTO BONE AND JOINT
Practice address
Palmetto Bone and Joint
2605 Kinard St Suite 105
Newberry, SC 29108
Phone
(803) 321-6254
Fax
(803) 321-6259
NPI assigned
Aug 15, 2019
Organization subpart
Yes
Parent organization
PALMETTO BONE AND JOINTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phillip H. Milner, DO
Title
Physician
Phone
(864) 833-3046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X

Addresses

Primary practice location

Palmetto Bone and Joint
2605 Kinard St Suite 105
Newberry, SC 29108

Mailing address

2605 Kinard St
Newberry, SC 29108
Phone (803) 321-6254

Other identifiers 1

IdentifierTypeStateIssuer
GP0620MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Bone Joint PA3 organizations share this tax ID, including this one
Part of
Palmetto Bone Joint PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2605 Kinard St
Ste 105
Newberry, SC 29108
Phone (803) 321-6254

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1104472109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KINARD ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "29108",
            "telephone_number": "803-321-6254",
            "fax_number": "803-321-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PALMETTO BONE AND JOINT",
            "address_2": "2605 KINARD ST SUITE 105",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "29108",
            "telephone_number": "803-321-6254",
            "fax_number": "803-321-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO BONE AND JOINT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALMETTO BONE AND JOINT",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "864-833-3046",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0620",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.