NPIMap

Organization Active NPI

University Medical Group Department of OBGYN

Doing business as Division of Reproductive Endocrinology & Infertility

  • Multi-Specialty Clinic/Center
  • Greenville, SC
National Provider Identifier
1710944749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
19348 Issued in SC
Legal business name
UNIVERSITY MEDICAL GROUP DEPARTMENT OF OBGYN
Doing business as
Division of Reproductive Endocrinology & Infertility
Practice address
890 W Faris Rd
Suite 470
Greenville, SC 29605-4247
Phone
(864) 455-1600
Fax
(864) 455-3095
NPI assigned
Apr 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Bruce Miller, MDNPI 1194772475
Title
Staff Physician
Phone
(864) 455-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 19348 SC Primary

Addresses

Primary practice location

890 W Faris Rd
Suite 470
Greenville, SC 29605-4247

Mailing address

890 W Faris Rd
Suite 470
Greenville, SC 29605-4247
Phone (864) 455-1600

Other identifiers 1

IdentifierTypeStateIssuer
193481MedicaidSC

Other names 1

  • Division of Reproductive Endocrinology & Infertility Doing business as

National Provider Directory

National Provider Directory
Tax ID family
L Neena Madireddi MD19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations (25 of 45)

2669 Kinard St
Atlanta, GA 30384

2400 Boiling Springs Rd
Ste A
Boiling Springs, SC 29316
Phone (864) 599-0731

101 Chapman Hill Rd
Ste 201
Clemson, SC 29631
Phone (864) 653-4071

1025 Verdae Blvd
Ste C
Greenville, SC 29607
Phone (864) 286-7570

1025 Verdae Blvd
Ste F
Greenville, SC 29607

1325 Miller Rd
Greenville, SC 29607
Phone (864) 283-0555

15 Park Creek Dr
Greenville, SC 29605
Phone (864) 271-7761

200 Patewood Dr
Ste A300
Greenville, SC 29615
Phone (864) 454-2100

200 Patewood Dr
Ste A350
Greenville, SC 29615
Phone (864) 242-6447

200 Patewood Dr
Ste C300
Greenville, SC 29615
Phone (864) 454-2852

2078 Woodruff Rd
Greenville, SC 29607
Phone (864) 297-7232

209 Three Bridges Rd
Greenville, SC 29611
Phone (864) 220-4209

2104 Woodruff Rd
Greenville, SC 29607
Phone (864) 676-1072

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

3911 S Highway 14
Greenville, SC 29615
Phone (864) 297-8890

48 Cross Park Ct
Greenville, SC 29605
Phone (864) 235-1122

5 W Main St
Greenville, SC 29611
Phone (864) 522-5220

57 Cross Park Ct
Greenville, SC 29605
Phone (864) 220-7270

6 Doctors Dr
Greenville, SC 29605
Phone (864) 232-6221

7 Independence Pt
Ste 140
Greenville, SC 29615

701 Grove Rd
Fl 6
Greenville, SC 29605
Phone (864) 455-7146

701 Grove Rd
Ste 2
Greenville, SC 29605

701 Grove Rd
Ste Art
Greenville, SC 29605

8 Memorial Medical Ct
Ste 6
Greenville, SC 29605
Phone (864) 295-1031

877 W Faris Rd
Ste D
Greenville, SC 29605
Phone (864) 455-9031

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710944749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W FARIS RD",
            "address_2": "SUITE 470",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054247",
            "telephone_number": "864-455-1600",
            "fax_number": "864-455-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W FARIS RD",
            "address_2": "SUITE 470",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054247",
            "telephone_number": "864-455-1600",
            "fax_number": "864-455-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL GROUP DEPARTMENT OF OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "864-455-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "SC",
            "license": "19348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193481",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Division of Reproductive Endocrinology & Infertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.