Individual provider Active NPI

Norris Brown Harbold Jr., M.D.

  • Cardiovascular Disease Physician
  • Rock Hill, SC
National Provider Identifier
1376790063
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
17213 Issued in NC
Practice address
2275 India Hook Rd
Rock Hill, SC 29732-1223
Phone
(803) 329-1500
Fax
(803) 329-9697
NPI assigned
Aug 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 17213 NC Primary

Addresses

Primary practice location

2275 India Hook Rd
Rock Hill, SC 29732-1223

Mailing address

46 Chimney Swift LN
Clover, SC 29710-8922
Phone (803) 329-1500

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17213NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Sanger Clinic PA Single Specialty Past Accepting new patients
Carolina Community Care Inc Past Accepting new patients
Carolina Community Care, Inc. Single Specialty PastSince May 11, 2020 Accepting new patients

Organizations & group practices 3

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1376790063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CHIMNEY SWIFT LN",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297108922",
            "telephone_number": "803-329-1500",
            "fax_number": "803-329-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 INDIA HOOK RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321223",
            "telephone_number": "803-329-1500",
            "fax_number": "803-329-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBOLD",
        "first_name": "NORRIS",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "17213",
            "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 Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.