Individual provider Active NPI

Christopher Thomas Bardi, M.D.

  • Pediatrics Physician
  • Florence, SC
National Provider Identifier
1194767723
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9294 Issued in SC
Practice address
1530 McClure Court
Florence, SC 29505-6046
Phone
(843) 667-6710
Fax
(843) 656-2010
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9294 SC Primary

Addresses

Primary practice location

1530 McClure Court
Florence, SC 29505-6046

Mailing address

1530 McClure Court
Florence, SC 29505-0000
Phone (843) 667-6710

Other identifiers 1

IdentifierTypeStateIssuer
092946MedicaidSC

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
I20110915000603 SC Practitioner - Pediatric Medicine 2062579139 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9294SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Carolina Pediatric Associates Pediatrics CurrentSince Jul 10, 2011 Accepting new patients
Elm Pediatrics, LLC Pediatrics PastSince Sep 1, 2021 Accepting new patients
Elm Pediatrics, LLC PastSince Apr 16, 2023 Accepting new patients

Locations

1530 McLure Ct
Florence, SC 29505
Phone (843) 667-6710

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1194767723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MCCLURE COURT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295050000",
            "telephone_number": "843-667-6710",
            "fax_number": "843-656-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 MCCLURE COURT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056046",
            "telephone_number": "843-667-6710",
            "fax_number": "843-656-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDI",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "9294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092946",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.