Organization Active NPI

W M Woodward, MD, PA

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1063454775
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15523 Issued in SC
Legal business name
W M WOODWARD, MD, PA
Practice address
1124 Sam Rittenberg Blvd
Suite 1
Charleston, SC 29407-3362
Phone
(843) 556-3462
Fax
(843) 766-2103
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Dr. Jeffrey Wayne Buncher Sr., M.D.NPI 1255457693
Title
Medical Director
Phone
(843) 556-3462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 15523 SC Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

1124 Sam Rittenberg Blvd
Suite 1
Charleston, SC 29407-3362

Mailing address

1124 Sam Rittenberg Blvd
Suite 1
Charleston, SC 29407-3362
Phone (843) 556-3462

Other identifiers 1

IdentifierTypeStateIssuer
GP1103MedicaidSC

Other names 1

  • CHARLESTON PAIN & REHABILITATION CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090721000730 SC Part B Supplier - Clinic/Group Practice 6507922093 Receives reassigned benefits from 5 practitioners
Practice locations: Charleston, SC
O20100930049938 SC DME Supplier - Physician - General PracticeDME Supplier - Independently-Practicing Physical Therapist 6507922093 Practice locations: Charleston, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D0891427Charleston Pain and Rehabilitation Center1124 Sam Rittenberg Boulevard Suite 1, Charleston, SC 29407ComplianceOct 24, 2026

National Provider Directory

National Provider Directory

Locations

1124 Sam Rittenberg Blvd
Ste 1
Charleston, SC 29407
Phone (803) 556-3462

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1063454775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 SAM RITTENBERG BLVD",
            "address_2": "SUITE 1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073362",
            "telephone_number": "843-556-3462",
            "fax_number": "843-766-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 SAM RITTENBERG BLVD",
            "address_2": "SUITE 1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073362",
            "telephone_number": "843-556-3462",
            "fax_number": "843-766-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W M WOODWARD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "BUNCHER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-556-3462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15523",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1103",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLESTON PAIN & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.