Active NPI
Fort Mill Neurology, LLC
- Neurology Physician
- Fort Mill, SC
National Provider Identifier
1811751043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- FORT MILL NEUROLOGY, LLC
- Practice address
- 1918 Masons Bend Dr
Fort Mill, SC 29708-7061 - Phone
- (907) 414-8413
- NPI assigned
- Feb 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Dwight Buckland, DO
- Title
- Owner
- Phone
- (803) 412-4720
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
1918 Masons Bend Dr
Fort Mill, SC 29708-7061
Mailing address
1918 Masons Bend Dr
Fort Mill, SC 29708-7061
Phone (907) 414-8413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Fort Mill, SC
- NPI 1700013570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777680000000",
"number": "1811751043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 MASONS BEND DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087061",
"telephone_number": "907-414-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 MASONS BEND DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087061",
"telephone_number": "907-414-8413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT MILL NEUROLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-08",
"last_updated": "2026-05-02",
"certification_date": "2026-05-02",
"status": "A",
"authorized_official_last_name": "BUCKLAND",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "DWIGHT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-412-4720",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
- Mallary Campbell Forrest, D.D.S.
- Fort Mill Chiropractic Health Center, P.a.
- Fort Mill Dermatology, LLC
- Fort Mill Dobys Bridge Dental LLC (Fort Mill Dental)
- Fort Mill Home Care
- Fort Mill Optical Inc (Fort Mill Vision Center)
- Fort Mill Pharmacy
- Fort Mill Rescue Squad
- Fort Mill School District #4
- Fort Mill Smiles Dentistry, PC (Fort Mill Smiles Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.