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

Mr. Robert Dean Bostic, PA

Individual provider Physician Assistant · NPI 1093750093

Mr. Robert Dean Bostic, PA is a Physician Assistant in Greenville, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 1998, 28 years ago. Practices with Kernersville Emergency Group, PLLC, a 52-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida, North Carolina and South Carolina.

Years since qualifying
28
Trained at
Medical University of South Carolina College of Medicine
Licensed in
FL, NC, SC
In the registry since
2006
Specialties on file
5
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone: (252) 847-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 800 N Justice St, Hendersonville, NC 28791 — (828) 696-1000
  • 2095 Henry Tecklenburg Drive, Charleston, SC 29414-5734 — (843) 402-1000
  • 14 Richland Medical Park Dr Ste 350, Columbia, SC 29203-6896 — (803) 434-1663

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102627 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 545 (SC)
Physician Assistant Taxonomy 363A00000X · Licence PA9110455 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 102627 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence A545 (SC)

Record details

NPI number1093750093
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 17, 2006
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Kernersville Emergency Group, Pllc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Greenville