Hartsville Diagnostic Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HARTSVILLE DIAGNOSTIC ASSOCIATES PA

Practice address

214 S 2ND St
Hartsville, SC 29550-4304

Phone

(843) 621-7546

NPI assigned

Feb 14, 2011

Last updated

Feb 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Eugene Bullard Jr., M. D.NPI 1053371104

Title

President

Phone

(843) 621-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Eugene Bullard Jr., MD

  • Internal Medicine Physician
  • Hartsville, SC
  • NPI 1053371104
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1356648182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1437",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511437",
            "telephone_number": "843-621-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S 2ND ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504304",
            "telephone_number": "843-621-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE DIAGNOSTIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-621-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Demetrius Ham, HAIR LOSS SPECIALIST
• Michael E Harless, M.D.
• Elizabeth Harrelson, LPES
• Leigh Ann G. Harrigan, PA-C
• Hartsville Anesthesia Associates
• Hartsville Drug Co Inc (Hartsville Drug Company)
• Hartsville Drug Co., Inc.
• Hartsville Eye Group PC (Harrington & Flowers Vision Center)
• Hartsville Family Chiropractic
• Hartsville Family Chiropractic

• Internal Medicine Physician in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.