Active NPI
Michael Bauerschmidt, MD
- Family Medicine Physician
- Mount Pleasant, SC
National Provider Identifier
1326034729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 13315
- Practice address
- 615 Johnnie Dodds Blvd Ste 102
Mount Pleasant, SC 29464-3082 - Phone
- (843) 936-6451
- Fax
- (843) 936-6452
- NPI assigned
- Sep 21, 2005
- Last updated
- Mar 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME57198 | FL | |
| Family Medicine Physician | 207Q00000X | 13315 | SC | Primary |
| Adult Medicine Physician | 207QA0505X | ME57198 | FL |
Addresses
Primary practice location
615 Johnnie Dodds Blvd Ste 102
Mount Pleasant, SC 29464-3082
Mailing address
615 Johnnie Dodds Blvd Ste 102
Mount Pleasant, SC 29464-3082
Phone (954) 493-8178
Other practice location 1
3079 E Commercial Blvd
#201
Ft Lauderdale, FL 33308
Phone (954) 415-6046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13315 | SC | MD | Family Medicine Physician |
| ME57198 | FL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Coral Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| All X Ray Diagnostic Services Corp | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Miami, FL
- NPI 1659399574
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1225093941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1326034729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 JOHNNIE DODDS BLVD STE 102",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643082",
"telephone_number": "954-493-8178",
"fax_number": "954-493-8459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 JOHNNIE DODDS BLVD STE 102",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643082",
"telephone_number": "843-936-6451",
"fax_number": "843-936-6452"
}
],
"practiceLocations": [
{
"address_1": "3079 E Commercial Blvd",
"address_2": "#201",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "33308",
"country_code": "US",
"telephone_number": "954-415-6046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUERSCHMIDT",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME57198",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "13315",
"primary": true
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ME57198",
"primary": false
}
],
"identifiers": [],
"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 Mar 17, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.