Individual provider Active NPI

Bernard Augustus Corbett III, MD

  • Family Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1205889409
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23498 Issued in NC
Practice address
151 Peachwood Centre Dr
Spartanburg, SC 29301-2575
Phone
(864) 560-9627
Fax
(864) 562-5470
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 24

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

View all 24

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Loma Linda University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NV Pacs 2 LLC 119 clinicians
South Carolina Post Acute Medical Services 1 PC 6 clinicians
CS Pacs 3 Southeast LLC 129 clinicians

Practice addresses (Care Compare)

290 N Grove Medical Park Dr
Spartanburg, SC 29303-4222
Phone (864) 345-1700

Hospital & facility affiliations

  • Spartanburg Regional Home Health Home health agency, Spartanburg, SC, CCN 427024
  • Interim Healthcare of the Upstate Home health agency, Greenville, SC, CCN 427015
  • Spartanburg Regional Med Ctr Hospice Hospice, Spartanburg, SC, CCN 421500
  • Hospice of the Carolina Foothills Hospice, Saluda, NC, CCN 341528
  • Family Hospice of Greenville LLC Hospice, Greenville, SC, CCN 421586
  • Rutherford Regional Medical Center Hospital, Rutherfordton, NC, CCN 340013
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • White Oak At North Grove Inc Nursing home, Spartanburg, SC, CCN 425408
  • White Oak Manor - Spartanburg Nursing home, Spartanburg, SC, CCN 425024
  • Life Care Center Of Columbia Nursing home, Columbia, SC, CCN 425337
  • White Oak Manor - Tryon Nursing home, Tryon, NC, CCN 345127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040205001151 NC Practitioner - Family PracticePractitioner - Emergency Medicine 9234022948 Reassigns benefits to 6 organizations
I20040216000885 SC Practitioner - Family PracticePractitioner - Emergency Medicine 9234022948 Reassigns benefits to 7 organizations
I20230713000497 IL Practitioner - Emergency MedicinePractitioner - Family Practice 9234022948 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9260SCMDDentist
23498NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodruff Road Urgent Care Center, P.C. Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Mar 1, 2014 Accepting new patients
Inpatient Consultants of North Carolina, PC Family Medicine CurrentSince Feb 6, 2025 Accepting new patients
Edcare Consulting LLC Emergency Medicine CurrentSince Dec 2, 2019 Accepting new patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Aug 26, 2024 Accepting new patients
Jefferson Emergency Services, PLLC Emergency Medicine CurrentSince Jan 15, 2019 Accepting new patients
NV Pacs 2 LLC CurrentSince Oct 29, 2024 Accepting new patients
South Carolina Post Acute Medical Services 1 PC CurrentSince Oct 29, 2024 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Oct 29, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Feb 6, 2025 Accepting new patients
NM Pacs 2 LLC CurrentSince Feb 6, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince Mar 1, 2014 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Dr Triage LLC CurrentSince May 5, 2023 Accepting new patients
App of South Carolina Ed PLLC Emergency Medicine CurrentSince Sep 12, 2018 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Acs Emergency Physicians of SC PC Emergency Medicine Past Accepting new patients
Mary Black Health System LLC Past Accepting new patients
Upstate Emergency Service Emergency Medicine Past Accepting new patients
Sterling Emergency Services of the Southeast, Inc Emergency Medicine Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Mary Black Physicians Group LLC Family Medicine Past Accepting new patients
Mary Black Health System LLC Past Accepting new patients

Locations (25 of 29)

3201 Tamiami Trl N
Naples, FL 34103
Phone (239) 248-9092

7023 NE Skyline Dr
Peoria, IL 61614
Phone (309) 683-2500

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

2333 Ashley River Rd
Charleston, SC 29414
Phone (843) 258-5538

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

1530 N Limestone St
Gaffney, SC 29340
Phone (864) 487-1544

724 Hyatt St
Ste 1D
Gaffney, SC 29341
Phone (864) 489-5001

510 Thompson St
Gaffney, SC 29340
Phone (864) 489-3101

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

2995 Reidville Rd
Ste 210
Spartanburg, SC 29301
Phone (864) 253-8140

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

8161 Warren H Abernathy Hwy
Spartanburg, SC 29301
Phone (864) 215-3729

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9260 SC
Family Medicine Physician 207Q00000X 9260 SC
Family Medicine Physician 207Q00000X 23498 NC Primary

Addresses

Primary practice location

151 Peachwood Centre Dr
Spartanburg, SC 29301-2575

Mailing address

PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304

Other practice location 1

420 Thomson Cir
Abbeville, SC 29620-5656
Phone (864) 366-5011

Other practice location 2

8161 Warren H Abernathy Hwy
Spartanburg, SC 29301-2451
Phone (864) 215-3729

Other identifiers 1

IdentifierTypeStateIssuer
092606MedicaidSC

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1205889409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042168",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 PEACHWOOD CENTRE DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012575",
            "telephone_number": "864-560-9627",
            "fax_number": "864-562-5470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Thomson Cir",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "SC",
            "postal_code": "296205656",
            "country_code": "US",
            "telephone_number": "864-366-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8161 Warren H Abernathy Hwy",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293012451",
            "country_code": "US",
            "telephone_number": "864-215-3729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "BERNARD",
        "middle_name": "AUGUSTUS",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "9260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "9260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "23498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092606",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.