Bert B Oubre, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30244 Issued in SC

Practice address

602 E Main St
Suite C
Lexington, SC 29072-3729

Phone

(803) 359-0164

Fax

(803) 359-0255

NPI assigned

Apr 8, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bledsoe Family Medicine LLC

  • Adult Medicine Physician
  • Lexington, SC
  • NPI 1356672927
  NPD (past)

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1528201480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E MAIN ST",
            "address_2": "SUITE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723729",
            "telephone_number": "803-359-0164",
            "fax_number": "803-359-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E MAIN ST",
            "address_2": "SUITE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723729",
            "telephone_number": "803-359-0164",
            "fax_number": "803-359-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUBRE",
        "first_name": "BERT",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "30244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher C. Osher, MOT, OTR/L
• Natalie Ospina, OT
• Megan Joy Osteen
• Elizabeth Anne Lavalley Otersen, MD
• Otwithz LLC
• Jackie Deshay Overton
• Elisabeth Owens
• Robert Connor Owens, PHARMD
• P. T. & J., Inc.
• Morgan Pace

• Family Medicine Physician in Lexington, SC
• Providers in Lexington, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.