Active NPI
Robert H. Fabrey II, MD
- Family Medicine Physician
- Pawleys Island, SC
National Provider Identifier
1497899314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 29385
- Practice address
- 116 Baskervill Dr
Pawleys Island, SC 29585-6013 - Phone
- (843) 237-2672
- Fax
- (843) 237-0369
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 29385 | SC | Primary |
| Family Medicine Physician | 207Q00000X | MD2008-0513 | NM |
Addresses
Primary practice location
116 Baskervill Dr
Pawleys Island, SC 29585-6013
Mailing address
801 W Maple St
Farmington, NM 87401-5630
Phone (505) 609-2076
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21770 | Other | NC | MD LICENSE NUMBER |
| 29385 | Other | SC | MD LICENSE NUMBER |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2008-0513 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith Medical Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community Health Clinic/Center
- Pawleys Island, SC
- NPI 1043684632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1497899314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W MAPLE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015630",
"telephone_number": "505-609-2076",
"fax_number": "505-609-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 BASKERVILL DR",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295856013",
"telephone_number": "843-237-2672",
"fax_number": "843-237-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABREY",
"first_name": "ROBERT",
"middle_name": "H.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "29385",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2008-0513",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE NUMBER",
"identifier": "21770",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE NUMBER",
"identifier": "29385",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.