Carolina Neurological Clinic, L.L.P.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

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

Organization subpart

No

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

Authorized official

Name

Dr. James L Bumgartner, MDNPI 1477522845

Title

Managing Partner

Phone

(843) 723-0202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James L. Bumgartner, M.D.

  • Neurology Physician
  • Charleston, SC
  • NPI 1477522845

  Neurology, SC

  Medicare reassignment Care Compare group NPD Authorized official
• Hamid Reza Bahadori, M.D.

  • Neurology Physician
  • Charleston, SC
  • NPI 1861571887

  Neurology, SC

  Medicare reassignment Care Compare group NPD
• Charles Stewart Jervey, M. D.

  • Neurology Physician
  • Greenville, SC
  • NPI 1801865365

  Neurology, SC

  Medicare reassignment NPD
• Lori M Craig, APRN-CNP

  • Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1003468745

  SC

  Medicare reassignment NPD
• Thomas H. Dukes III, M.D.

  • Neurology Physician
  • Charleston, SC
  • NPI 1679542278

  Neurology

  NPD

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": []
}

• Carolina Hearing Services, Inc.
• Carolina Homeless Veterans, Inc
• Carolina Kidney & Hypertension Center, LLC
• Carolina Lung Associates, PA
• Carolina Medical Care, Inc.
• Carolina OBGYN
• Carolina Orthopedic & Pain, LLC
• Carolina Orthotics and Prosthetics LLC
• Carolina Orthotics and Prosthetics of Myrtle Beach LLC
• Carolina Preventive Medicine Assoc Inc

• All providers in Charleston, SC
• Neurology Physician in South Carolina

• 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.

Verify at the official NPI Registry.