BRUCE A MARSHALL MD PA NPI 1356520746

NPI Information

  • NPI: 1356520746
  • Provider Name: BRUCE A MARSHALL MD PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 104 MEDICAL PARK CT
    CLINTON, SC
    ZIP 29325
  • Phone: (864) 833-1978

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NPI Details

BRUCE A MARSHALL MD PA is a specialist in Clinton, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRUCE A MARSHALL MD PA NPI is 1356520746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 MEDICAL PARK CT
CLINTON, SC
ZIP 29325-537
Phone: (864) 833-1978
Fax: (864) 833-7688

The provider's authorized official is Bruce A Marshall .
The authorized official title is Owner and has the following contact phone number (864) 833-1978.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 11/29/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist9545SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D175622314MEDICARE UPINSOUTH CAROLINA
2095453MEDICAIDSOUTH 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: 11/21/2025

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