Individual provider Active NPI

Michael Bauerschmidt, MD

  • Family Medicine Physician
  • Mount Pleasant, SC
National Provider Identifier
1326034729
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13315 Issued in SC
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
13315SCMDFamily Medicine Physician
ME57198FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.