Active NPI
Carolina Neurological Clinic, L.L.P.
- Neurology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- CAROLINA NEUROLOGICAL CLINIC, L.L.P.
- Practice address
- 3531 Mary Ader Ave
Suite a
Charleston, SC 29414-5896 - Phone
- (843) 723-0202
- Fax
- (843) 723-1052
- NPI assigned
- Mar 21, 2006
- Last updated
- Dec 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James L Bumgartner, MD
- Title
- Managing Partner
- Phone
- (843) 723-0202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | SC | Primary |
Addresses
Primary practice location
3531 Mary Ader Ave
Suite a
Charleston, SC 29414-5896
Mailing address
3531 Mary Ader Ave
Suite a
Charleston, SC 29414-5896
Phone (843) 723-0202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2340319 | Carolina Neurological Clinic, LLC | Certificate of waiver | Mar 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
125 Doughty St
Ste 460
Charleston, SC 29403
Phone (803) 723-0202
3531 Mary Ader Ave
Ste A
Charleston, SC 29414
Phone (843) 556-1300
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurology Physician
- Charleston, SC
- NPI 1477522845
-
- Neurology Physician
- Charleston, SC
- NPI 1861571887
-
- Neurology Physician
- Greenville, SC
- NPI 1801865365
-
- Neurology Physician
- Charleston, SC
- NPI 1679542278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480636800000",
"number": "1346209129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3531 MARY ADER AVE",
"address_2": "SUITE A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145896",
"telephone_number": "843-723-0202",
"fax_number": "843-723-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3531 MARY ADER AVE",
"address_2": "SUITE A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145896",
"telephone_number": "843-723-0202",
"fax_number": "843-723-1052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA NEUROLOGICAL CLINIC, L.L.P.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2016-12-02",
"status": "A",
"authorized_official_last_name": "BUMGARTNER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "843-723-0202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
- Carolina Hearing Services, Inc.
- Carolina Homeless Veterans, Inc (McCleod Manor Residential Care)
- Carolina Kidney & Hypertension Center, LLC
- Carolina Lung Associates, PA
- Carolina Medical Care, Inc.
- Carolina OBGYN
- Carolina Orthopedic & Pain, LLC (Schuster Gerald D Single Member)
- Carolina Orthotics and Prosthetics LLC
- Carolina Orthotics and Prosthetics of Myrtle Beach LLC
- Carolina Preventive Medicine Assoc Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.