NPIMap

Individual provider Active NPI

James L. Bumgartner, M.D.

  • Neurology Physician
  • Charleston, SC
National Provider Identifier
1477522845
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
8828 Issued in SC
Practice address
125 Doughty St
Suite 460
Charleston, SC 29403-5736
Phone
(843) 723-0202
Fax
(843) 723-1052
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 8828 SC Primary

Addresses

Primary practice location

125 Doughty St
Suite 460
Charleston, SC 29403-5736

Mailing address

125 Doughty St
Suite 460
Charleston, SC 29403-5736
Phone (843) 723-0202

Other identifiers 1

IdentifierTypeStateIssuer
088283MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000390 SC Practitioner - Neurology 7416131032 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Emory University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Neurological Clinic, L.L.P.Group PAC ID 7719953942, 2 clinicians

Practice addresses (Care Compare)

125 Doughty St
Suite 460
Charleston, SC 29403-5741

3531 Mary Ader Ave
Suite a
Charleston, SC 29414-5896
Phone (843) 723-0202

Hospital & facility affiliations

  • Amedisys Home Health of Charleston East Home health agency, Charleston, SC, CCN 427027
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Novant Health East Cooper Medical Center Hospital, Mount Pleasant, SC, CCN 420089
  • Mount Pleasant Hospital Hospital, Mount Pleasant, SC, CCN 420104
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
71.21
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8828SCMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St. Francis Xavier Hosptial, Inc. Neurology CurrentSince Jan 1, 2016 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. Current Accepting new patients
Carolina Neurological Clinic, L.L.P. Neurology CurrentSince Apr 2, 1993 Accepting new patients
Roper Hospital Inc. CurrentSince Jan 1, 2016 Accepting new patients
Roper Hospital, Inc. Current Accepting new patients
Roper Hospital, Inc. Neurology CurrentSince Jan 1, 2016 Accepting new patients

Locations

3531 Mary Ader Ave
Ste A
Charleston, SC 29414
Phone (843) 556-1300

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

125 Doughty St
Ste 460
Charleston, SC 29403
Phone (803) 723-0202

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Interoperability endpoints

  • Direct secure messaging: jamesbumgartner@carolinaneurologicalclinic.ssdirect.aprima.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1477522845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST",
            "address_2": "SUITE 460",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035736",
            "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": "125 DOUGHTY ST",
            "address_2": "SUITE 460",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035736",
            "telephone_number": "843-723-0202",
            "fax_number": "843-723-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMGARTNER",
        "first_name": "JAMES",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "8828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088283",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.