Brian J Roberts MD
Brian J Roberts MD is a healthcare organization registered as Non-Pharmacy Dispensing Site in Myrtle Beach, SC, holding Type 2 (organization) NPI 1225199094 since 2006. The authorized official on file is Chris Richardson, Exec Dir.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1225199094 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brian J Roberts MD |
| Other name | <Unavail> |
| Practice address | 823 82ND PKWY, Myrtle Beach, SC, 29572 |
| Phone | 8434491010 |
| Fax | 8434976171 |
| Enumeration date | 2006-12-13 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Chris Richardson |
|---|---|
| Title | Exec Dir |
| Phone | 8434491010 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332900000X | Non-Pharmacy Dispensing Site | Primary | 20257 | SC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1418 | Medicaid | SC | — |
| 4226216 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Brian J Roberts MD NPI: 1225199094 Taxonomy: 332900000X (Non-Pharmacy Dispensing Site) Address: 823 82ND PKWY, Myrtle Beach, SC, 29572
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1710978903 | William Bogache | Individual | Urology Physician | Myrtle Beach, SC |
| 1265423453 | Neal Shore | Individual | Urology Physician | Myrtle Beach, SC |
| 1700877909 | Brian Roberts | Individual | Urology Physician | Myrtle Beach, SC |
| 1922099126 | Grand Strand Urology | Organization | Specialist | Myrtle Beach, SC |
| 1265423479 | Kenneth Krzyzaniak | Individual | Urology Physician | Myrtle Beach, SC |
| 1518948587 | Richard Young | Individual | Urology Physician | Myrtle Beach, SC |
| 1316180847 | Robert Jansen | Individual | Urology Physician | Myrtle Beach, SC |
| 1366744989 | Michelle Deeney | Individual | Physician Assistant | Myrtle Beach, SC |
Verify this record
Cross-check NPI 1225199094 against the authoritative CMS record: view Brian J Roberts MD on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Brian J Roberts MD?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.