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RICHARD ANDREW ROSEBROCK NP NPI 1669860540


NPI Information

NPI: 1669860540
Provider Name: RICHARD ANDREW ROSEBROCK, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: SPARTANBURG MEDICAL CENTER

PECOS Registration: Yes

Address:
101 E WOOD ST
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-6654
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Richard Andrew Rosebrock, NP is a gerontology nurse practitioner in Spartanburg, SC with 10 years of experience. Richard Andrew Rosebrock, NP NPI is 1669860540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

101 E WOOD ST
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-6654
Fax: (864) 560-7353

The NPI 1669860540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Insertion of arterial catheter for blood sampling or infusion, accessed through the skin (HCPCS:36620)

The enumeration date for this NPI number is 12/31/2014 and was last updated on 12/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care19225SOUTH CAROLINANo
2363L00000XNurse Practitioner19225SOUTH CAROLINANo
3363LG0600XNurse PractitionerGerontology19225SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NP3030MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.