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GRAND STAND UROLOGY LLP
NPI 1225199094
Non-Pharmacy Dispensing Site in Myrtle Beach, SC

Active since December 13, 2006
823 82ND PKWY, MYRTLE BEACH, SC 29572(843) 449-1010(843) 497-6171 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Stand Urology Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND STAND UROLOGY LLP (NPI 1225199094) is a healthcare organization registered as a non-pharmacy dispensing site in Myrtle Beach, South Carolina and active in the NPI registry since December 2006. The organization lists Chris Richardson, Exec Dir, as its authorized official.

NPPES Registry Identity

NPI1225199094
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBRIAN J ROBERTS MD
Location Address823 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address823 82nd PkwyMyrtle Beach, SC 29572-4607
Phone(843) 449-1010
Fax(843) 497-6171
Organization SubpartNo
Authorized OfficialChris RichardsonExec Dir · (843) 449-1010
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1225199094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in SC · 20257
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
823 82ND PKWY, Myrtle Beach, SC 29572
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Other Names 1

Doing Business AsGrand Stand Urology Llp

Other Identifiers 2

MedicaidGP1418SC
Other4226216Other Id Number-commercial Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE CORRINE BADOLATO
Nurse Practitioner (Family)
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 347-2450
DR. ABHISHEK SRIVASTAVA M.D.
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
KAYLA SHANIECE GERALD PA-C
Physician Assistant
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
JULIE ANN ELLISON SCHMITZ NP-C
Nurse Practitioner (Family)
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
DR. NEAL SHORE DR
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
DR. KENNETH E KRZYZANIAK MD
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
JACQUELYN GREINER BOOHER D.O.
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
ROBERT JANSEN
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian J Roberts MD's NPI number?

The NPI number for Brian J Roberts MD is 1225199094. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Grand Stand Urology LLP.

Where is Brian J Roberts MD located?

Brian J Roberts MD is located at 823 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 449-1010.

What is Brian J Roberts MD's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Brian J Roberts MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.