Active NPI
Matthew Bryan Baker, M.D.
- Plastic Surgery Physician
- Mount Pleasant, SC
National Provider Identifier
1275540692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD87844
- Practice address
- 1205 Two Island CT.
#203
Mount Pleasant, SC 29466-7406 - Phone
- (843) 971-2860
- Fax
- (303) 278-4841
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 43027 | CO | |
| Plastic Surgery Physician | 208200000X | MD87844 | SC | Primary |
Addresses
Primary practice location
1205 Two Island CT.
#203
Mount Pleasant, SC 29466-7406
Mailing address
1205 Two Island CT.
#203
Mount Pleasant, SC 29466-7406
Phone (843) 971-2860
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 803906 | Other | CO | MEDICARE GROUP PIN |
| 83381872 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43027 | CO | MD | Obstetrics & Gynecology Physician |
| MD87844 | SC | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark J Segal MD LLC | Current | Accepting new patients | |
| Lowcountry Plastic Surgery Center LLC | Plastic Surgery | Current | Accepting new patients |
| Plastic Surgery of Athens, P.C. | Plastic Surgery | Past | Accepting new patients |
| Center for Cosmetic Surgery PC | Plastic Surgery | Past | Accepting new patients |
Locations
1205 Two Island Ct
Unit 203
Mt Pleasant, SC 29466
Phone (843) 971-2860
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 and National Provider Directory roles.
-
- Plastic Surgery Physician
- Mt Pleasant, SC
- NPI 1942368279
-
- Specialist
- Charleston, SC
- NPI 1073066932
-
- Plastic Surgery Physician
- Golden, CO
- NPI 1053913129
-
- Plastic Surgery Physician
- Athens, GA
- NPI 1073706412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1275540692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 TWO ISLAND CT.",
"address_2": "#203",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667406",
"telephone_number": "843-971-2860",
"fax_number": "303-278-4841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 TWO ISLAND CT.",
"address_2": "#203",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667406",
"telephone_number": "843-971-2860",
"fax_number": "303-278-4841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "MATTHEW",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CO",
"license": "43027",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "SC",
"license": "MD87844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "803906",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83381872",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.