MYRTLE BEACH ENDOCRINOLOGY – NPI #1083872030
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

MYRTLE BEACH ENDOCRINOLOGY is a provider located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1083872030 to MYRTLE BEACH ENDOCRINOLOGY on May 27, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was previously updated about 18 years ago on Jul 16, 2008. 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 MYRTLE BEACH ENDOCRINOLOGY below.

NPI Profile for
MYRTLE BEACH ENDOCRINOLOGY

NPI Number
1083872030
Enumeration Date

(more than 18 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
MYRTLE BEACH ENDOCRINOLOGY
Primary location
1039 44TH AVENUE NORTH
SUITE 204
MYRTLE BEACH, SC 29577
Phone: (843) 839-3950 Fax: (843) 839-3955
Mailing address
PO BOX 100523
FLORENCE, SC 29501
Phone: (843) 669-5162 Fax: (843) 771-4482
Organization Subpart
No
Authorized Official
PAUL BUNN
PHYSICIAN OWNER
Phone: (843) 267-1535
Updated
Identifiers

Identifiers for MYRTLE BEACH ENDOCRINOLOGY

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
MEDICAIDNC89064V0
MEDICAIDSC119838
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
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)
SC MD11983

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.