Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Black River Healthcare, Inc.

Family Medicine Physician in Kingstree, SC · enumerated 2006 · authorized official Barbara Brooks, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497798599

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Registry record

Entity type Organization (Type 2)

Legal business name Black River Healthcare, Inc.

Other name <Unavail>

Parent organization Black River Healthcare, Inc.

Practice address 520 Thurgood Marshall Blvd., Suite B, Kingstree, SC, 29556

Phone (843) 355-5628

Fax (843) 355-6072

Enumeration date Jun 14, 2006

Last updated in NPPES Apr 8, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Barbara Brooks

Title Chief Executive Officer

Phone (803) 433-1216

Other identifiers

Identifier	Type	State	Issuer
4397	Other	SC	MEDICARE PART B

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 → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-04-08. Verify at npiregistry.cms.hhs.gov.

Where is Black River Healthcare, Inc. located?

The practice location on file with NPPES is in Kingstree, SC.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-08.