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NPI Code Detail

MEDICARE: DR. BRIAN JEFFREY SCHWARTZBERG M.D.

MEDICARE: DR. BRIAN JEFFREY SCHWARTZBERG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician26658SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2218785071OTHERSCTRICARE
320046467OTHERSCSELECT HEALTH
4185707OTHERSCMEDCOST

General Provider Information

NPI Number : 1396805354
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN JEFFREY SCHWARTZBERG M.D.
Provider Business Mailing Address
First Line : PO BOX 50520
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29485-0520
Country : US
Telephone Number : 843-552-4240
Fax Number : 843-552-4121
Provider Business Practice Location Address
First Line : 1101 BOWMAN RD
Second Line :
City : MT. PLEASANT
State : SC
Zip : 29464-3213
Country : US
Telephone Number : 843-284-4911
Fax Number : 843-284-4910
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 01/27/2009

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