Organization Active NPI

Robert L Schubert MD LLC

  • Family Medicine Physician
  • Hilton Head Island, SC
National Provider Identifier
1215478185
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40350 Issued in SC
Legal business name
ROBERT L SCHUBERT MD LLC
Practice address
18 Hospital Center Blvd
Hilton Head Island, SC 29926-2733
Phone
(843) 681-9355
Fax
(843) 842-9701
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Robert L Schubert, MDNPI 1407964943
Title
Owner
Phone
(843) 422-4642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 40350 SC Primary

Addresses

Primary practice location

18 Hospital Center Blvd
Hilton Head Island, SC 29926-2733

Mailing address

18 Hospital Center Blvd
Hilton Head Island, SC 29926-2733
Phone (843) 681-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170628003344 SC Part B Supplier - Clinic/Group Practice 6608145057 Receives reassigned benefits from 1 practitioner
Practice locations: Hilton Head Island, SC

National Provider Directory

National Provider Directory

Locations

8 Lafayette Pl
Ste 101
Hilton Head Island, SC 29926
Phone (843) 681-9355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215478185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HOSPITAL CENTER BLVD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262733",
            "telephone_number": "843-681-9355",
            "fax_number": "843-842-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HOSPITAL CENTER BLVD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262733",
            "telephone_number": "843-681-9355",
            "fax_number": "843-842-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L SCHUBERT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHUBERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-422-4642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "40350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.