DR. REGINALD JOHN BROOKER


Address: 3 Butternut Dr, Ste B, Greenville, SC 29605-4653
Phone: 8642982826

DR. REGINALD JOHN BROOKER (NPI# 1871598201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871598201
Entity Type Individual
Full Name DR. REGINALD JOHN BROOKER
Credential MD
Practice Address 3 Butternut Dr
Ste B
Greenville
SC 29605-4653
Mailing Address 1 Independence Pt
Suite 212
Greenville
SC 29615-4545
Practice Telephone 8642982826
Practice Fax Number 8646727764
Mailing Telephone 8647976044
Enumeration Date 2005-06-14
Last Update Date 2013-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
7813 SC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC 078132 05

Other Providers REGINALD BROOKER

NPI Name Taxonomy Address Enumeration
1801801253 Reginald Christopher Brooker Orthopaedic Surgery 1483 Tobias Gadson Blvd Ste 202, Charleston, SC 29407 2006-07-31

Office Location

Street Address 3 BUTTERNUT DR
STE B
City GREENVILLE
State SC
Zip Code 29605-4653

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669071791 Amy Simpkins Robinson Pharmacist 3 Butternut Dr, Greenville, SC 29605-4655 2020-10-20
1659827756 Prisma Health-upstate General Acute Care Hospital 3 Butternut Dr, Suite B, Greenville, SC 29605-4653 2016-08-29
1366998460 Prisma Health-upstate General Acute Care Hospital 3 Butternut Dr, Suite B4, Greenville, SC 29605-4655 2016-08-29
1821403445 Kendall Michelle Reid Nurse Practitioner 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2014-06-23
1548689672 Greenville Health System General Acute Care Hospital 3 Butternut Dr, Suite B4, Greenville, SC 29605-4655 2014-04-16
1154603611 Wimberly Tipping Cox Nurse Practitioner 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2011-09-12
1356674527 Elizabeth Heritage Cull Internal Medicine 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2009-09-06
1861626764 Lisa Marie Johnson-losinski Nurse Practitioner 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2009-05-06
1528264314 Melissa A Saxon Nurse Practitioner 3 Butternut Dr, Suite B, Greenville, SC 29605-4655 2007-06-27
1447371281 Sharmila Pravin Mehta Internal Medicine 3 Butternut Dr, Greenville, SC 29605-4655 2007-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306099 Prisma Health University Medical Group Family Medicine 110 Osage Drive, Greenville, SC 29605 2018-12-05
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1134658420 Trace Christopher Deighan Obstetrics & Gynecology 890 West Faris Road, Suite 470, Greenville, SC 29605 2017-06-08
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124253315 Hshs Holy Family Hospital, Inc. Internal Medicine 200 Healthcare Dr, Ste 1501, Greenville, IL 62246-1154 2009-05-18
1598922650 Xuezhong Yang Internal Medicine 317 Saint Francis Dr Ste 340, Greenville, SC 29601-3914 2008-05-16
1255349361 Jorge M Abdallah Internal Medicine 855 Johns Hopkins Dr, Greenville, NC 27834-7223 2006-08-04
1518901545 Robert D Siegel Internal Medicine 104 Innovation Dr, Ste. 2000, Greenville, SC 29607-5253 2006-06-16
1891732616 Devena E Alston-johnson Internal Medicine 104 Innovation Dr. Ste. 2000, Greenville, SC 29607 2006-06-01
1033101670 Lillian P Burke Internal Medicine 2080 W Arlington Blvd, Suite B, Greenville, NC 27834-3770 2005-08-19
1407851793 Kim Ong Gococo Internal Medicine 65 International Dr, Greenville, SC 29615-4816 2005-06-15
1013301563 Heather Brody Internal Medicine 2100 Stantonsburg Rd, Greenville, NC 27834-2818 2015-03-23
1043631773 Nitika Sharma Internal Medicine 600 Moye Blvd, Greenville, NC 27834-4300 2013-12-24
1417248360 Jessica Ann Reifer Hildebrand Internal Medicine 1850 W Arlington Blvd, Greenville, NC 27834-5704 2011-04-27
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Competitor

Search similar providers

City GREENVILLE
Zip Code 29605

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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