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

Dr. Brandon Lars Roberg, PHD

Individual provider Clinical Psychologist · NPI 1649798737

Dr. Brandon Lars Roberg, PHD is a Clinical Psychologist in Columbia, South Carolina. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Licensed in
SC
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

6000 Garners Ferry Rd Ste 12
Columbia, SC 29209-1303
Phone: (803) 708-7095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 1457 (SC)

Record details

NPI number1649798737
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESApril 2, 2023
Certification dateApril 2, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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