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Mary Black Health System LLC

Family Medicine Physician in Spartanburg, SC · enumerated 2006 · authorized official Debbie Brewer, Director of Provider Enrollment.

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

National Provider Identifier

1578507174

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Registry record

Entity type Organization (Type 2)
Legal business name Mary Black Health System LLC
Practice address 1690 Skylyn Dr, Suite 300, Spartanburg, SC, 29307
Fax (864) 596-7409
Enumeration date Jun 15, 2006
Last updated in NPPES Jul 16, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0105X Surgery of the Hand (Surgery) Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
261QR0206X Mammography Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Debbie Brewer
Title Director of Provider Enrollment

Other identifiers

Identifier Type State Issuer
GP1325 Medicaid SC -
GP4572 Medicaid SC -
CE9631 Other SC MEDICARE RAILROAD
GP1610 Medicaid SC -
GP1628 Medicaid SC -
GP4573 Medicaid SC -
GP4628 Medicaid SC -

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.

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Frequently asked questions

What is the NPI number for Mary Black Health System LLC?
The NPI for Mary Black Health System LLC is 1578507174, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mary Black Health System LLC?
NPPES lists Debbie Brewer (Director of Provider Enrollment) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-16.