Peter Wolfgang Ledwin Bean, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5118 Issued in SC

Practice address

27 Gamecock Ave Ste 201
Charleston, SC 29407-3398

Phone

(843) 769-8215

NPI assigned

Jan 29, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.bean@foothillspsychshelby.direct.kno2fy.com

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.

• Pediatric and Family Behavioral Health, PLLC

  • Child & Adolescent Psychiatry Physician
  • Monroe, NC
  • NPI 1700385507
  Medicare reassignment
• John E. Emmel, MD, PC

  • Geriatric Medicine (Family Medicine) Physician
  • Charleston, SC
  • NPI 1235263534
  NPD

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1336730654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GAMECOCK AVE STE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GAMECOCK AVE STE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073398",
            "telephone_number": "843-769-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "PETER",
        "middle_name": "WOLFGANG LEDWIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-29",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12167",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Beall, D.M.D
• Gabrielle Rose Beam, MD
• Kelly Beam
• Sallie B Beam, CRNA
• Caitlin Elizabeth Beaman, FNP-C
• Madeline Marie Beanard
• Pamela Bearden, APRN
• Brianna Exline Beasenburg
• Emily Wade Beasley, CRNA
• Sarah Elizabeth Beasley, MD

• Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.