Active NPI
Lloyd Bernard Mandel, M.D.
- Surgery Physician
- Goose Creek, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10054
- Practice address
- 588 Old Mount Holly Rd
Goose Creek, SC 29445-2814 - Phone
- (843) 376-5595
- Fax
- (843) 797-7432
- NPI assigned
- Oct 26, 2006
- Last updated
- Apr 22, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 10054 | SC | |
| Surgery Physician | 208600000X | 10054 | SC | Primary |
Addresses
Primary practice location
588 Old Mount Holly Rd
Goose Creek, SC 29445-2814
Mailing address
588 Old Mount Holly Rd
Goose Creek, SC 29445-2814
Phone (843) 376-5595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP0504 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Gosling Way
Suite E
Summerville, SC 29486-8917
Phone (843) 376-5595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10054 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PM Health Alliance, LLC | Surgery | Current | Accepting new patients |
| Lloyd B. Mandel MD PA | Surgery | Past | Accepting new patients |
| Goose Creek Physical Medicine LLC | Past | Accepting new patients | |
| Back 2 Health LLC | Past | Accepting new patients |
Locations
588 Old Mount Holly Rd
Goose Creek, SC 29445
Phone (843) 376-5595
106 Gosling Way
Ste E
Summerville, SC 29486
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Back 2 Health
- Primary Care Nurse Practitioner
- Goose Creek, SC
- NPI 1326590746
Surgery
-
- Chiropractor
- Goose Creek, SC
- NPI 1710144852
-
- Physical Medicine & Rehabilitation Physician
- Goose Creek, SC
- NPI 1346534781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1225113178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 OLD MOUNT HOLLY RD",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452814",
"telephone_number": "843-376-5595",
"fax_number": "843-797-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "588 OLD MOUNT HOLLY RD",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452814",
"telephone_number": "843-376-5595",
"fax_number": "843-797-7432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "LLOYD",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "SC",
"license": "10054",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "10054",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP0504",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.