Erin Reilly Gruber, MD
Pediatrics in Charleston, SC. Individual provider (NPI-1).
NPI number1104714286
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1104714286
- Entity type
- Individual (NPI-1)
- Name
- Erin Reilly Gruber
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2025
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | LL94865 | SC | Yes |
Practice location
169 Ashley Ave Rm 202Charleston, SC 29425-8905
Phone 843-408-6893
Mailing address
169 Ashley Ave Rm 202Charleston, SC 29425-8905
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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