Edwin Leo Blitch IV, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

134 Issued in SC

Practice address

9313 Medical Plaza Dr
301
Charleston, SC 29406-9155

Phone

(843) 553-2909

Fax

(843) 553-4684

NPI assigned

Feb 20, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Carolina Podiatry IncGroup PAC ID 7214932201, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trident Medical Center Hospital, Charleston, SC, CCN 420079

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coastal Carolina Podiatry Inc

  • Foot & Ankle Surgery Podiatrist
  • Ladson, SC
  • NPI 1154331544
  Medicare reassignment Care Compare group NPD
• Low Country Family Podiatry

  • Foot & Ankle Surgery Podiatrist
  • N Charleston, SC
  • NPI 1104997527
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trident Medical Center, LLC

  dba HCA Healthcare Trident Hospital

  • General Acute Care Hospital
  • Charleston, SC
  • NPI 1366496937
  Care Compare affiliation

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376518795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "301",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-553-2909",
            "fax_number": "843-553-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9313 MEDICAL PLAZA DR",
            "address_2": "301",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069155",
            "telephone_number": "843-553-2909",
            "fax_number": "843-553-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLITCH",
        "first_name": "EDWIN",
        "middle_name": "LEO",
        "name_suffix": "IV",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD1340",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey P. Blice, M.D.
• Renea Brown Bligen, LISW-CP/S
• Tiffany L Bligen
• Margaret Blincow
• Ashley Bliss, LMSW
• Bridgetta Blockmon
• Margaret Bloder, OTR/L
• Kerry Lynn Blome, LISW CP
• Bloom and Grow Pediatric Therapy LLC
• James R Bloom, M.D.

• Foot & Ankle Surgery Podiatrist in Charleston, SC
• Providers in Charleston, SC by specialty
• Foot & Ankle Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• 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.