Robert J Blackwell, M.D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

29700 Issued in SC

Practice address

9263 Medical Plaza Dr
Suite B
North Charleston, SC 29406-7109

Phone

(843) 414-1224

Fax

(843) 414-1226

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, SC, TN, NC4 enrollments

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 4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Palmetto Pain Management LLC

  • Interventional Pain Medicine Physician
  • Columbia, SC
  • NPI 1861411738
  Medicare reassignment NPD
• Health Providers of America, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316560972

  GA, NC, SC, TN

  Medicare reassignment NPD
• L&D Medical Center, LLC

  • Family Nurse Practitioner
  • Powder Springs, GA
  • NPI 1225647274

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD
• United Physician Group LLC

  • Family Medicine Physician
  • Brookhaven, GA
  • NPI 1922579192

  SC

  Medicare reassignment NPD
• Parish Anesthesia Associates, LTD Apmc

  • Certified Registered Nurse Anesthetist
  • Metairie, LA
  • NPI 1942252150
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1407887201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 MEDICAL PLAZA DR",
            "address_2": "SUITE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067109",
            "telephone_number": "843-414-1224",
            "fax_number": "843-414-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 MEDICAL PLAZA DR",
            "address_2": "SUITE B",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067109",
            "telephone_number": "843-414-1224",
            "fax_number": "843-414-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "057150",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "29700",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "SC",
            "license": "29700",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TN",
            "license": "53281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297002",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Kathleen Bieze, RD
• Bioclinical Infusion Services LLC
• Norman L Bishop, D.C.
• Julia Black
• Laura Black, PHARMACIST
• Saraann Fagan Blanchard, NP
• Carleen Bland, PT
• Shanna Bland
• Briana Blaney
• Devan Blankenbaker

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.