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RICHARD BRUCE BANNON MD
NPI 1912959362
Family Medicine in Pacolet, SC

Active since May 16, 2006
391 GLENN SPRINGS RD, PACOLET, SC 29372(864) 474-3013(864) 474-1501 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Bruce Bannon Md NPPES

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

RICHARD BRUCE BANNON MD (NPI 1912959362) is an individual family medicine provider in Pacolet, South Carolina, licensed in South Carolina (7239) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1912959362
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD BRUCE BANNONCredential: MD
Location Address391 GLENN SPRINGS RDPacolet, SC 29372-2417
Mailing Address391 Glenn Springs RdPacolet, SC 29372-2417 · (864) 474-3013 · Fax (864) 474-1501
Phone(864) 474-3013
Fax(864) 474-1501
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 7, 2012
✔ NPI 1912959362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 7239
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
391 GLENN SPRINGS RD, Pacolet, SC 29372
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Other Identifiers 6

Medicare UPINB92536SC
OtherP00386835GA · Medicare Railroad Ptan#
Medicaid072398SC
Medicare NSC5878670002SC
Medicare PINB925368688SC
Medicare PINB925365305SC

Other Providers at the Same Location NPPES 4

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

MARY BLACK PHYSICIANS GROUP LLC
Durable Medical Equipment & Medical Supplies
391 GLENN SPRINGS RD
PACOLET, SC 29372
Spartanburg County (864) 474-3013
MARY BLACK HEALTH SYSTEM LLC
Family Medicine
391 GLENN SPRINGS RD
PACOLET, SC 29372
Spartanburg County (864) 474-3013
EMARY BLACK PHYSICIANS GROUP, LLC
Family Medicine
391 GLENN SPRINGS RD
PACOLET, SC 29372
Spartanburg County (864) 474-3013
MARY BLACK PHYSICIANS GROUP, LLC
Clinic/Center (Rural Health)
391 GLENN SPRINGS RD
PACOLET, SC 29372
Spartanburg County (864) 703-1414

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 Bannon's NPI number?

The NPI number for Richard Bannon is 1912959362. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Richard Bannon located?

Richard Bannon practices at 391 Glenn Springs Rd, Pacolet, SC 29372. The listed phone number is (864) 474-3013.

What is Richard Bannon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Richard Bannon was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.