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Contact Information

ROBERT A BREVETTA, DO
727 SE MAIN ST STE 120
SIMPSONVILLE, SC29681-3248
 Phone: 864-454-6700
 Fax: 864-454-6705
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT A BREVETTA · (Male)

NPI # 1871751677
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/28/2008
Last updated 06/07/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 36753
  • SC Medicaid 367533
Hospital affiliation(s)
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
  • HILLCREST MEMORIAL HOSPITAL - (Acute Care)
    729 SOUTH EAST MAIN STREET
    SIMPSONVILLE, SC 29681
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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