Active NPI
Robert Goodbar
- Pediatrics Physician
- Rock Hill, SC
National Provider Identifier
1376568048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 10317
- Practice address
- 1656 Riverchase Blvd
Suite 3400
Rock Hill, SC 29732-2084 - Phone
- (803) 328-6281
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 10317 | SC | Primary |
Addresses
Primary practice location
1656 Riverchase Blvd
Suite 3400
Rock Hill, SC 29732-2084
Mailing address
1656 Riverchase Blvd
Rock Hill, SC 29732-2084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10317 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1376568048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1656 RIVERCHASE BLVD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 RIVERCHASE BLVD",
"address_2": "SUITE 3400",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322084",
"telephone_number": "803-328-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODBAR",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "10317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.