Individual provider Active NPI

Robert H Bardsley IV, MD

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1447008164
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MMD94442LL Issued in SC
Practice address
96 Jonathan Lucas CSB 210, MSC 323
Charleston, SC 29425-4220
Phone
(336) 312-6419
NPI assigned
May 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MMD94442LL SC Primary
Surgery Physician 208600000X RTL24-0115 NC

Addresses

Primary practice location

96 Jonathan Lucas CSB 210, MSC 323
Charleston, SC 29425-4220

Mailing address

2016 Elvington Rd
Johns Island, SC 29455-8278
Phone (336) 312-6419

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606002162 NC Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic RadiologyPractitioner - General Surgery 5597207464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MMD94442LLSCMDDiagnostic Radiology Physician

Interoperability endpoints

  • Direct secure messaging: rbardsley646199@direct.unc.nchie.net
  • Direct secure messaging: rbardsley552245@directhisp.wakemed.org

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1447008164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 ELVINGTON RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294558278",
            "telephone_number": "336-312-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 JONATHAN LUCAS CSB 210, MSC 323",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294254220",
            "telephone_number": "336-312-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDSLEY",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-08",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MMD94442LL",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "RTL24-0115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.