Active NPI
Brock Alton Hebert, PT, DPT
- Physical Therapist
- Hardeeville, SC
National Provider Identifier
1992562425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11728
- Practice address
- 1010 Medical Center Dr Ste 110
Hardeeville, SC 29927-3448 - Phone
- (843) 784-8197
- NPI assigned
- Mar 1, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11728 | LA | Primary |
Addresses
Primary practice location
1010 Medical Center Dr Ste 110
Hardeeville, SC 29927-3448
Mailing address
15 Charles Cross Way Unit 6206
Bluffton, SC 29910-9394
Other practice location 1
24 Bethea Dr
Hilton Head, SC 29926-4702
Phone (843) 682-7301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11728 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1992562425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CHARLES CROSS WAY UNIT 6206",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299109394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 MEDICAL CENTER DR STE 110",
"city": "HARDEEVILLE",
"state": "SC",
"postal_code": "299273448",
"telephone_number": "843-784-8197"
}
],
"practiceLocations": [
{
"address_1": "24 Bethea Dr",
"address_purpose": "LOCATION",
"city": "Hilton Head",
"state": "SC",
"postal_code": "299264702",
"country_code": "US",
"telephone_number": "843-682-7301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEBERT",
"first_name": "BROCK",
"middle_name": "ALTON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-01",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "11728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hardeeville, SC
- Hardeeville Medical Group, LLC
- Hardeeville Pharmacy Inc
- Nancy C Harris, FNP
- Yolande Haughton
- Jennifer Hayek
- Haley Elizabeth Henrickson, DPT
- Hilton Head Emergency Physicians, Inc.
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
- Hilton Head Regional Physician Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.