Individual provider Active NPI

Barron Crawford Fishburne, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Columbia, SC
National Provider Identifier
1316948243
Registry record updated Aug 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
19548 Issued in SC
Practice address
7620 Trenholm Road Ext
Columbia, SC 29223-1718
Phone
(803) 736-7200
Fax
(803) 736-2116
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 19548 SC
Retina Specialist (Ophthalmology) Physician 207WX0107X 19548 SC Primary

Addresses

Primary practice location

7620 Trenholm Road Ext
Columbia, SC 29223-1718

Mailing address

7620 Trenholm Road Ext
Columbia, SC 29223-1718
Phone (803) 736-7200

Other identifiers 1

IdentifierTypeStateIssuer
T33461MedicaidSC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120103000683 SC Practitioner - Ophthalmology 7517994957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Retina Center LLCGroup PAC ID 4486741980, 13 clinicians

Practice addresses (Care Compare)

124 Sunset CT
West Columbia, SC 29169-2429
Phone (803) 744-0156

1831 W Evans St
Suite 315
Florence, SC 29501-3300
Phone (803) 931-0077

645 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 905-7700

7620 Trenholm Rd Ext
Columbia, SC 29223-1718
Phone (803) 736-7200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Retina Center LLC Ophthalmology CurrentSince Sep 7, 2021 Accepting new patients

Locations

7620 Trenholm Road Ext
Columbia, SC 29223
Phone (803) 736-7200

1831 W Evans St
Ste 315
Florence, SC 29501
Phone (803) 736-7200

645 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 905-7700

124 Sunset Ct
West Columbia, SC 29169
Phone (803) 744-0155

Interoperability endpoints

  • Direct secure messaging: bfishburne@carolinaretinacenter.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: barron.fishburne.p1@direct.palmettoretina.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1316948243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 TRENHOLM ROAD EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231718",
            "telephone_number": "803-736-7200",
            "fax_number": "803-736-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 TRENHOLM ROAD EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231718",
            "telephone_number": "803-736-7200",
            "fax_number": "803-736-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHBURNE",
        "first_name": "BARRON",
        "middle_name": "CRAWFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "19548",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "SC",
            "license": "19548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T33461",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.