Active NPI
Robert Bruce Hanlin, M.D.
- Family Medicine Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17177
- Practice address
- 101 Orchard Park Dr
Greenville, SC 29615-3531 - Phone
- (864) 729-6606
- Fax
- (855) 617-4426
- NPI assigned
- May 5, 2006
- Last updated
- Dec 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17177 | SC | Primary |
Addresses
Primary practice location
101 Orchard Park Dr
Greenville, SC 29615-3531
Mailing address
101 Orchard Park Dr
Greenville, SC 29615-3531
Phone (864) 729-6606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171771 | Medicaid | SC | |
| 80130814 | Other | SC | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.hanlin@centerwell.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17177 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerwell Senior Primary Care NC JV PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care (NC) JV, P.C. | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care NC JV PC | Family Medicine | Current | Accepting new patients |
Locations
6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836
8727 Jw Clay Blvd
Charlotte, NC 28262
Phone (980) 999-1831
901 N Wendover Rd
Ste D
Charlotte, NC 28211
Phone (980) 999-3975
2910 E Franklin Blvd
Ste 1
Gastonia, NC 28056
Phone (704) 648-0460
Interoperability endpoints
- robert.hanlin@centerwell.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CenterWell Senior Primary Care-University City
- Internal Medicine Physician
- Charlotte, NC
- NPI 1366181943
Family Medicine
-
dba CenterWell Senior Primary Care (NC) JV, P.C. - Sheffield Park
- Internal Medicine Physician
- Charlotte, NC
- NPI 1477373991
Family Medicine
-
dba CenterWell Senior Primary Care- Wilkinson
- Internal Medicine Physician
- Charlotte, NC
- NPI 1831836758
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1568410280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 ORCHARD PARK DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153531",
"telephone_number": "864-729-6606",
"fax_number": "855-617-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 ORCHARD PARK DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153531",
"telephone_number": "864-729-6606",
"fax_number": "855-617-4426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLIN",
"first_name": "ROBERT",
"middle_name": "BRUCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "17177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171771",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "80130814",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robert.hanlin@centerwell.eclinicaldirectplus.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "101 Orchard Park Dr",
"city": "Greenville",
"state": "SC",
"country_code": "US",
"postal_code": "296153531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, SC
- Philip B. Hangen, MPT
- Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
- Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
- Christina Leanne Hanley
- Rachel Elizabeth Hanley, MSW, LISW-CP
- Alexis W Hanna, SPEECH PATHOLOGIST
- Alison Hanna, RD, LD
- Jeffrey William Hanna, MD
- Joseph P Hanna, MD
- Katie Bell Hanna, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.