Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Roudebush, DO

Individual provider Family Medicine Physician · NPI 1376540559

Andrew Roudebush, DO is a Family Practice in Greenville, South Carolina. Qualified in 1996, 30 years ago. Practices with Bon Secours Medical Group Greenville Specialty Care LLC, a 289-clinician group and accepts Medicare assignment. Licensed in Illinois, Missouri and South Carolina.

Years since qualifying
30
Licensed in
IL, MO, SC
In the registry since
2005
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

131 Commonwealth Dr Ste 100
Greenville, SC 29615-4838
Phone: (864) 675-4820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036135207 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 110832 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 87780 (SC)

Record details

NPI number1376540559
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 4, 2005
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Bon Secours Medical Group Greenville Specialty Care Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville