Active NPI
Charles Bruce Murdock, MD
- Nephrology Physician
- Spartanburg, SC
National Provider Identifier
1679533640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 12557
- Practice address
- 126 Dillon Dr
Spartanburg, SC 29307-1018 - Phone
- (864) 327-1212
- Fax
- (864) 327-1211
- NPI assigned
- Mar 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12257 | SC | |
| Nephrology Physician | 207RN0300X | 12557 | SC | Primary |
Addresses
Primary practice location
126 Dillon Dr
Spartanburg, SC 29307-1018
Mailing address
126 Dillon Dr
Spartanburg, SC 29307-1018
Phone (864) 327-1212
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7906172 | Medicaid | NC | |
| 122575 | Medicaid | SC | |
| 390003440 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111102000061 | SC | Practitioner - Internal Medicine | 2860384146 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Duke University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Medical Center
Practice addresses (Care Compare)
1201 Furman L Fendley Hwy
Union, SC 29379-7419
126 Dillon Dr
Spartanburg, SC 29307-1018
Phone (864) 327-1212
Hospital & facility affiliations
- Fresenius Kidney Care Spartanburg
- Dci Union
- Dci Gaffney
- Spartanburg Medical Center
- Union Medical Center
- Cherokee Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12257 | SC | MD | Pharmacist |
| 12557 | SC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Nephrology PC | Nephrology | Current | Accepting new patients |
Locations
126 Dillon Dr
Spartanburg, SC 29307
Phone (864) 327-1212
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Spartanburg, SC
- NPI 1013298330
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1679533640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 DILLON DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071018",
"telephone_number": "864-327-1212",
"fax_number": "864-327-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 DILLON DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071018",
"telephone_number": "864-327-1212",
"fax_number": "864-327-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURDOCK",
"first_name": "CHARLES",
"middle_name": "BRUCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "12257",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "12557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7906172",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122575",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "390003440",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.