Ben C Pendarvis Jr., M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5230 Issued in SC

Practice address

940 Holly St NE
Orangeburg, SC 29115-4930

Phone

(803) 536-2725

Fax

(803) 534-1441

NPI assigned

Jul 19, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003815309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 HOLLY ST NE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154930",
            "telephone_number": "803-536-2725",
            "fax_number": "803-534-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 HOLLY ST NE",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154930",
            "telephone_number": "803-536-2725",
            "fax_number": "803-534-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDARVIS",
        "first_name": "BEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "5230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0966",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rubin Gopal Patel, MD
• Ellen Fay Patrick, PT
• Mary Braxton Patrick, PA
• Christy Kandi Patterson
• Peacock Medical Equipment & Home Health Care LLC
• Vincent Pendarvis, M.ED
• Boris Penev, DO
• Sara Rose Peters, PA-C
• Matthew Seth Petitt, MD
• Virginia Pettway, DNP, PNP-PC

• Pediatrics Physician in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.