Robert J Brockman, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

24263 Issued in SC

Practice address

75 Baylor Dr Ste 290
Bluffton, SC 29910-8965

Phone

(843) 705-8888

NPI assigned

Sep 20, 2006

Last updated

Jan 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

79.72 of 100Reported as group

Quality

63.11

Promoting interoperability

100

Improvement activities

40

Cost

69.3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hilton Head Regional Physician Group LLC

  • Internal Medicine Physician
  • Bluffton, SC
  • NPI 1548021694
  Medicare reassignment NPD
• Hilton Head Regional Physician Group LLC

  dba Wound Healing Center

  • Surgery Physician
  • Bluffton, SC
  • NPI 1295596708
  NPD
• Atlantic Coast Medical Center PC

  • Internal Medicine Physician
  • Morehead City, NC
  • NPI 1801010145
  NPD (past)
• Carteret Surgery Center PLLC

  dba Carteret Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Morehead City, NC
  • NPI 1083695514
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1174621767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 HWY 17 BYPASS",
            "address_2": "SUITE 202",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295764381",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BAYLOR DR STE 290",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108965",
            "telephone_number": "843-705-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 Highway 17 Bypass",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295764381",
            "country_code": "US",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Baylor Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299108965",
            "country_code": "US",
            "telephone_number": "843-836-1730",
            "fax_number": "843-706-2433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Okatie Center Blvd S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Okatie",
            "state": "SC",
            "postal_code": "299097519",
            "country_code": "US",
            "telephone_number": "843-689-1326",
            "fax_number": "843-706-3197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9500519",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "24263",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "24263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "24263",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mary Bridwell, PT
• Brighter Tomorrows of the Lowcountry
• Shawntral Maria Julia Brimm
• John Louis Brittis, MD
• Broad River Oncology LLC (New River Cancer Center)
• Addie Elizabeth Broom, MHS, OTR/L
• Benisha R Brown
• Camden Benton Doughtie Brown, DMD, MS
• Chance Matthew Brown, DDS
• Laurie Brown

• Surgery Physician in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.