Active NPI
Bevid Medical
- Family Medicine Physician
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BEVID MEDICAL
- Practice address
- 324 N Pine St Ste a
Spartanburg, SC 29302-1631 - Phone
- (864) 485-3070
- NPI assigned
- Feb 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omar G Daniels
- Title
- Ceo
- Phone
- (864) 266-3176
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
324 N Pine St Ste a
Spartanburg, SC 29302-1631
Mailing address
584 Verdae Dr
Spartanburg, SC 29301-5384
Phone (864) 266-3176
Other practice location 1
2086 Woodruff Rd Ste B
Greenville, SC 29607-5939
Phone (864) 652-3010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2284339 | Bevid Medical LLC | Certificate of waiver | Jun 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
2086 Woodruff Rd
#B
Greenville, SC 29607
Phone (864) 329-9526
324 N Pine St
#A
Spartanburg, SC 29302
Phone (305) 901-5055
324 N Pine St
Spartanburg, SC 29302
Phone (864) 580-7010
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1538398037
-
- Family Nurse Practitioner
- Spartanburg, SC
- NPI 1003453093
-
- Family Nurse Practitioner
- Columbia, SC
- NPI 1295494441
-
- Adult Health Nurse Practitioner
- Greer, SC
- NPI 1962992024
-
- Psychiatric/Mental Health Nurse Practitioner
- Spartanburg, SC
- NPI 1013372390
-
- Acute Care Nurse Practitioner
- Greenville, SC
- NPI 1780223685
-
- Primary Care Nurse Practitioner
- Greenville, SC
- NPI 1437643707
-
- Assisted Living Facility
- Spartanburg, SC
- NPI 1629768049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703980800000",
"number": "1104522846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 VERDAE DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293015384",
"telephone_number": "864-266-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 N PINE ST STE A",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021631",
"telephone_number": "864-485-3070"
}
],
"practiceLocations": [
{
"address_1": "2086 Woodruff Rd Ste B",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296075939",
"country_code": "US",
"telephone_number": "864-652-3010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BEVID MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-03",
"last_updated": "2023-12-31",
"certification_date": "2023-12-31",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "864-266-3176",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; 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.