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DR. RICHARD SIDDALL PENNEBAKER M.D.
NPI 1356399604
Pediatrics in Greenville, SC

Active since May 05, 2006
57 CROSS PARK COURT, GREENVILLE, SC 29605(864) 797-6044(864) 797-6198 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Siddall Pennebaker M.d. NPPES

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

DR. RICHARD SIDDALL PENNEBAKER M.D. (NPI 1356399604) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (12799) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1356399604
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RICHARD SIDDALL PENNEBAKERCredential: M.D.
Location Address57 CROSS PARK COURTGreenville, SC 29605-4264
Mailing AddressOne Independence Pointe, Suite 212Greenville, SC 29615-4566 · (864) 797-6044 · Fax (864) 797-6198
Phone(864) 797-6044
Fax(864) 797-6198
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateSeptember 14, 2011
✔ NPI 1356399604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 12799
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
57 CROSS PARK COURT, Greenville, SC 29605
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Other Identifiers 6

Medicare UPINB91827SC
Medicare PINB918277951SC
MedicaidTL5018SC
Medicare PIN370005488SC
Medicare PINB918273640SC
Medicare PINB918273365SC

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 Richard Pennebaker's NPI number?

The NPI number for Richard Pennebaker is 1356399604. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Richard Pennebaker located?

Richard Pennebaker practices at 57 Cross Park Court, Greenville, SC 29605. The listed phone number is (864) 797-6044.

What is Richard Pennebaker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Richard Pennebaker was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.