Benjamin Logan Bishop

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

Beaufort Middle School
2501 Mossy Oaks Road
Beaufort, SC 29902

Phone

(843) 322-5700

NPI assigned

Jan 4, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1316717903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 SHELL POINT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299066847",
            "telephone_number": "843-592-9364",
            "fax_number": "813-645-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT MIDDLE SCHOOL",
            "address_2": "2501 MOSSY OAKS ROAD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-322-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BENJAMIN",
        "middle_name": "LOGAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Taylor Bilyard, PTA
• Tenisha Donte Bing
• Kathleen Bingham, BSW
• Kathryn Ann Bird, DDS
• Abby Bishop, MA CCC-SLP, CLC
• William Benjamin Bishop III, PT, MSR
• Deborah Black, LMT
• Tara Christine Blackburn, PTA
• Clyde P. Blalock, MD
• Jesse Blalock, PHARM D.

• Behavior Technician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.