ROPER HOSPITAL ER BERKELEY – NPI #1104983055
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

ROPER HOSPITAL ER BERKELEY is a provider located in MONCKS CORNER, SC. NPPES has assigned the NPI number 1104983055 to ROPER HOSPITAL ER BERKELEY on January 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ROPER HOSPITAL ER BERKELEY” is a dba name, the actual legal business name for this organization is ROPER HOSPITAL INC. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 3 years ago on Nov 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROPER HOSPITAL ER BERKELEY below.

NPI Profile for
ROPER HOSPITAL INC

NPI Number
1104983055
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROPER HOSPITAL INC
Doing Business As (dba): ROPER HOSPITAL ER BERKELEY
Primary location
730 STONY LANDING RD
MONCKS CORNER, SC 29461
Phone: (800) 846-7707 Fax: (843) 899-7885
Mailing address
PO BOX 601495
CHARLOTTE, NC 28260-1495
Phone: (843) 789-1620 Fax: (843) 724-2454
Organization Subpart
No
Authorized Official
WILLIAM JACKSON
CEO
Phone: (843) 724-2954
Updated
Certification Date
Dec 11, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ROPER HOSPITAL ER BERKELEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE PTANSC5872
medicaidSCGP0574
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1068.1
Content Type
Affiliation
Y
Endpoint Location
2720 DUNDEE RD # 302,
NORTHBROOK, IL 77025-1669