Active NPI
Bruce R Schober, DO
- Family Medicine Physician
- Easley, SC
National Provider Identifier
1841286085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 851
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008510 | Medicaid | SC | |
| PA4726 | Other | SC | GROUP 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
| License | State | Type | Specialty |
|---|---|---|---|
| 851 | SC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oaktree Medical Centre, PC | Past | Accepting new patients | |
| Keowee Primary Care & Internal Medicine PC | Past | 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.
-
- Internal Medicine Physician
- Seneca, SC
- NPI 1548371222
-
- Clinic/Center
- Easley, SC
- NPI 1154308617
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
- SC-Ga2018 Fleetwood Rehabilitation and Healthcare Center, LLC (Fleetwood Rehabilitation and Healthcare Center)
- Kristina Schafer, NP-C
- Adam Lance Schendel, NP
- Bernd Schmelz, PT
- Gretchen Schmelz, OTR
- School District of Pickens County
- School District of Pickens County
- School Road Senior Living, LLC (Easley Place - A Continuum of Care Community)
- School Road Senior Living, LLC
- Ashley Lee Scott, PHARM D
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.