NPIMap

Organization Active NPI

Seaside Pediatrics of Bluffton, PC

  • Pediatrics Physician
  • Bluffton, SC
National Provider Identifier
1154480366
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
27781 Issued in SC
Legal business name
SEASIDE PEDIATRICS OF BLUFFTON, PC
Practice address
167 Bluffton Rd
Suite G, Box 7
Bluffton, SC 29910-6227
Phone
(843) 757-8663
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Dr. Maureen Moosbrugger Berrigan, MDNPI 1548275423
Title
Owner
Phone
(843) 757-8663

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 27781 SC Primary

Addresses

Primary practice location

167 Bluffton Rd
Suite G, Box 7
Bluffton, SC 29910-6227

Mailing address

167 Bluffton Rd
Suite G
Bluffton, SC 29910-6227
Phone (843) 757-8663

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
42D1058867Seaside Pediatrics of Bluffton PC167 Bluffton Road Suite G Box 7, Bluffton, SC 29910Certificate of waiverSep 18, 2026

National Provider Directory

National Provider Directory

Locations

167 Bluffton Rd
Ste G
Bluffton, SC 29910
Phone (843) 597-4799

15 Hospital Center Cmns
Hilton Head, SC 29926
Phone 8436822800255

Practitioners & affiliated clinicians

Practitioners 5

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1154480366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 BLUFFTON RD",
            "address_2": "SUITE G",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106227",
            "telephone_number": "843-757-8663",
            "fax_number": "843-815-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 BLUFFTON RD",
            "address_2": "SUITE G, BOX 7",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106227",
            "telephone_number": "843-757-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE PEDIATRICS OF BLUFFTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "BERRIGAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "MOOSBRUGGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-757-8663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "27781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.