Individual provider Active NPI

Robert Thomson Ball Jr., MD MPH FACP

  • Infectious Disease Physician
  • North Charleston, SC
National Provider Identifier
1710276340
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
SC 7420 Issued in SC
Practice address
4050 Bridge View Drive
#600- SC Dhec
North Charleston, SC 29405-7464
Phone
(843) 953-0042
Fax
(843) 953-0051
NPI assigned
Apr 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X SC 7420 SC Primary

Addresses

Primary practice location

4050 Bridge View Drive
#600- SC Dhec
North Charleston, SC 29405-7464

Mailing address

4050 Bridge View Drive #600
SC Department of Health & Environmental Control (Dhec)
North Charleston, SC 29405-7464
Phone (843) 953-0042

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

LicenseStateTypeSpecialty
SC 7420SCMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710276340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 BRIDGE VIEW DRIVE #600",
            "address_2": "SC DEPARTMENT OF HEALTH & ENVIRONMENTAL CONTROL (DHEC)",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057464",
            "telephone_number": "843-953-0042",
            "fax_number": "843-953-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 BRIDGE VIEW DRIVE",
            "address_2": "#600- SC DHEC",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057464",
            "telephone_number": "843-953-0042",
            "fax_number": "843-953-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "ROBERT",
        "middle_name": "THOMSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD MPH FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "SC",
            "license": "SC 7420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.