Provider Demographics
NPI:1801868153
Name:BUECHLER, ROBBIE D (MD)
Entity Type:Individual
Prefix:
First Name:ROBBIE
Middle Name:D
Last Name:BUECHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 W MEETING ST STE G
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-6249
Mailing Address - Country:US
Mailing Address - Phone:803-285-1111
Mailing Address - Fax:
Practice Address - Street 1:834 W MEETING ST STE G
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-6249
Practice Address - Country:US
Practice Address - Phone:803-285-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-016452084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC29690OtherMEDICAL LICENSE
MN180166000Medicaid
SC29690OtherMEDICAL LICENSE
MN180166000Medicaid
MNP00257937Medicare ID - Type UnspecifiedRAILROAD