NPIMap

Organization Active NPI

Beaufort Gastroenterology

  • Specialist
  • Beaufort, SC
National Provider Identifier
1417008459
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15276 Issued in SC
Legal business name
BEAUFORT GASTROENTEROLOGY
Practice address
989 Ribaut Rd Ste 300
Beaufort, SC 29902-5426
Phone
(843) 522-1550
Fax
(843) 522-8115
NPI assigned
Jan 16, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Bernard B Vinoski Jr., M.D.
Title
Owner
Phone
(843) 522-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 15276 SC Primary

Addresses

Primary practice location

989 Ribaut Rd Ste 300
Beaufort, SC 29902-5426

Mailing address

989 Ribaut Rd Ste 300
Beaufort, SC 29902-5426
Phone (843) 522-1550

Other identifiers 2

IdentifierTypeStateIssuer
152676MedicaidSC
GP1219MedicaidSC

Other names 1

  • bernard b vinoski,jr Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1417008459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 RIBAUT RD STE 300",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025426",
            "telephone_number": "843-522-1550",
            "fax_number": "843-522-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 RIBAUT RD STE 300",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025426",
            "telephone_number": "843-522-1550",
            "fax_number": "843-522-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUFORT GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "VINOSKI",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-522-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "15276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152676",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1219",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bernard b vinoski,jr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.