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NPI Code Detail

MEDICARE: BRUCE R SCHOBER DO

MEDICARE: BRUCE R SCHOBER DO
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
1207Q00000XFamily Medicine Physician851SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841286085
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE R SCHOBER DO
Provider Business Mailing Address
First Line : 109B FLEETWOOD DR
Second Line :
City : EASLEY
State : SC
Zip : 29640-2019
Country : US
Telephone Number : 864-855-1036
Fax Number : 864-855-3318
Provider Business Practice Location Address
First Line : 109B FLEETWOOD DR
Second Line :
City : EASLEY
State : SC
Zip : 29640-2019
Country : US
Telephone Number : 864-855-1036
Fax Number : 864-855-3318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2005
Last Update Date : 07/09/2007

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Directions to “ BRUCE R SCHOBER DO” Practice Location

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