Individual provider Active NPI

Edgar Benton Barnard, M.D.

  • Family Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1023004546
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18133 Issued in SC
Practice address
900 Bowman Rd Ste 103
Mount Pleasant, SC 29464-3218
Phone
(843) 885-4900
Fax
(843) 885-8040
NPI assigned
Sep 20, 2005
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18133 SC Primary

Addresses

Primary practice location

900 Bowman Rd Ste 103
Mount Pleasant, SC 29464-3218

Mailing address

900 Bowman Rd Ste 103
Mount Pleasant, SC 29464-3218
Phone (843) 885-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Edgar.Barnard@rsfpp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000685 SC Practitioner - Family Practice 1557490125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18133SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince Sep 8, 2014 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Sep 8, 2014 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients
Clinton Family Practice, Inc. Family Medicine PastSince Jul 1, 2000 Accepting new patients
The Family Medical Ctr of Clinton Inc Family Medicine Past Accepting new patients

Locations

1 S Park Cir
Ste 400
Charleston, SC 29407
Phone (843) 789-1651

730 Stony Landing Rd
Ste 100
Moncks Corner, SC 29461
Phone (843) 761-6556

180 Wingo Way
Ste 110
Mt Pleasant, SC 29464
Phone (843) 402-5283

767 Johnnie Dodds Blvd
Mt Pleasant, SC 29464
Phone (843) 402-5283

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: edgar.barnard.1@23284.direct.athenahealth.com
  • Direct secure messaging: edgar.barnard@rsfpp.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1023004546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BOWMAN RD STE 103",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643218",
            "telephone_number": "843-885-4900",
            "fax_number": "843-885-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BOWMAN RD STE 103",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643218",
            "telephone_number": "843-885-4900",
            "fax_number": "843-885-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "EDGAR",
        "middle_name": "BENTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "18133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Edgar.Barnard@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "730 Stony Landing Rd",
            "address_2": "Suite 100",
            "city": "Moncks Corner",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294612904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.