Individual provider Active NPI

Samuel Bruce Rochester III, PARAMEDIC

  • Paramedic
  • Greer, SC
National Provider Identifier
1437788239
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
09551 Issued in SC
Practice address
333 Hudson Water Rd
Greer, SC 29651-7062
Phone
(864) 809-4801
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 09551 SC Primary

Addresses

Primary practice location

333 Hudson Water Rd
Greer, SC 29651-7062

Mailing address

333 Hudson Water Rd
Greer, SC 29651-7062
Phone (864) 809-4801

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL . Health Information Exchange (HIE) Laurens County EMS

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

LicenseStateTypeSpecialty
09551SCMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1437788239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 HUDSON WATER RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517062",
            "telephone_number": "864-809-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 HUDSON WATER RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517062",
            "telephone_number": "864-809-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHESTER",
        "first_name": "SAMUEL",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "SC",
            "license": "09551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".",
            "affiliation": "Y",
            "endpointDescription": ".",
            "affiliationName": "Laurens County EMS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "333 Hudson Water Rd",
            "city": "Greer",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296517062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.