Individual provider Active NPI

Robert Rees Durant IV, MD

  • Psychiatry Physician
  • Mount Pleasant, SC
National Provider Identifier
1932399292
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
32844 Issued in SC
Practice address
913 Bowman Rd Ste 104
Mount Pleasant, SC 29464-3235
Phone
(843) 216-7640
Fax
(843) 216-2528
NPI assigned
Aug 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD.201542 LA
Psychiatry Physician 2084P0800X 32844 SC Primary

Addresses

Primary practice location

913 Bowman Rd Ste 104
Mount Pleasant, SC 29464-3235

Mailing address

2105 Adams St
New Orleans, LA 70118-5405
Phone (504) 249-7719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000386 SC Practitioner - Psychiatry 4486820909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.201542LAMDPsychiatry Physician
32844SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Durant MD LLC CurrentSince Jul 28, 2010 Accepting new patients

Locations

913 Bowman Rd
Ste 104
Mt Pleasant, SC 29464
Phone (843) 216-2535

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1932399292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 ADAMS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185405",
            "telephone_number": "504-249-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 BOWMAN RD STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643235",
            "telephone_number": "843-216-7640",
            "fax_number": "843-216-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANT",
        "first_name": "ROBERT",
        "middle_name": "REES",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.201542",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "32844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.