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

Phillip Brent Reustle, PA-C

Individual provider Physician Assistant · NPI 1356537161

Phillip Brent Reustle, PA-C is a Physician Assistant in Spartanburg, South Carolina. Qualified in 2007, 19 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
19
Licensed in
SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

225 E Wood St
Spartanburg, SC 29303-3050
Phone: (864) 560-4420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 197 Piedmont Blvd Ste 100, Rock Hill, SC 29732-1825 — (803) 324-1950

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3367 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 3367 (SC)

Record details

NPI number1356537161
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2007
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Spartanburg