Individual provider Active NPI

Bruce R Schober, DO

  • Family Medicine Physician
  • Easley, SC
National Provider Identifier
1841286085
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
851 Issued in SC
Practice address
109B Fleetwood Dr
Easley, SC 29640-2019
Phone
(864) 855-1036
Fax
(864) 855-3318
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 851 SC Primary

Addresses

Primary practice location

109B Fleetwood Dr
Easley, SC 29640-2019

Mailing address

109B Fleetwood Dr
Easley, SC 29640-2019
Phone (864) 855-1036

Other identifiers 2

IdentifierTypeStateIssuer
008510MedicaidSC
PA4726OtherSCGROUP MEDICAID NUMBER

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)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
851SCMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oaktree Medical Centre, PC Past Accepting new patients
Keowee Primary Care & Internal Medicine PC PastSince Jun 1, 2000 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841286085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109B FLEETWOOD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402019",
            "telephone_number": "864-855-1036",
            "fax_number": "864-855-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109B FLEETWOOD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402019",
            "telephone_number": "864-855-1036",
            "fax_number": "864-855-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOBER",
        "first_name": "BRUCE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008510",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "PA4726",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.