Bernice M McKenzie
Individual provider Active NPI Driver · Moncks Corner, SC
NPI 1134095193 · NPPES record last updated Oct 15, 2025
Key facts
- NPI
- 1134095193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 003451562 (SC)
- Practice address
- 1220 Saint Johns Ave
Moncks Corner, SC 29461-9265 - Phone
- (843) 437-6598
- NPI assigned
- Oct 15, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003451562 | SC | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 003451562 | SC | Yes |
Addresses
Primary practice location
1220 Saint Johns Ave
Moncks Corner, SC 29461-9265
Mailing address
1220 Saint Johns Ave
Moncks Corner, SC 29461-9265
Phone (843) 437-6598
Other providers in Moncks Corner, SC
- Donna M McClure
- Nicholas Aaron McCoy
- Christy Y. McCrea
- Melanie McEndree
- Hayden McKenney
- Tonya R McKinley
- McKinney Oral Surgery LLC
- Brittany Danielle McLaurin
- Christiane Elaine McNeal
- Dillon McQuade
All providers in Moncks Corner, SC · Driver in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.