Active NPI
Robert William Bankov, M.D.
- Emergency Medicine Physician
- Parris Island, SC
National Provider Identifier
1487624375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19162
- Practice address
- 670 Boulevard de France
Parris Island, SC 29905 - Phone
- (843) 228-2873
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 27656 | NC | |
| Emergency Medicine Physician | 207P00000X | 19162 | SC | Primary |
Addresses
Primary practice location
670 Boulevard de France
Parris Island, SC 29905
Mailing address
2005 Knight Lane BLDG H
Navy Med Support Services,Attn: Medical Staff Services
Jacksonville, FL 32212-0140
Phone (843) 228-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27656 | NC | MD | Emergency Medicine Physician |
| 19162 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Georgia, Inc. | Emergency Medicine | Past | Accepting new patients |
| Hilton Head Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| The Baxley and Appling County Hospital Authority | Past | Accepting new patients | |
| Coastal Carolina Medical Center, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Ridgeland, SC
- NPI 1124307509
-
- Emergency Medicine Physician
- Hilton Head Island, SC
- NPI 1326047176
-
- Emergency Medicine Physician
- Hazlehurst, GA
- NPI 1144201559
-
- Rural Health Clinic/Center
- Baxley, GA
- NPI 1073752143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720310400000",
"number": "1487624375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 KNIGHT LANE BLDG H",
"address_2": "NAVY MED SUPPORT SERVICES,ATTN: MEDICAL STAFF SERVICES",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322120140",
"telephone_number": "843-228-5400",
"fax_number": "843-228-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 BOULEVARD DE FRANCE",
"city": "PARRIS ISLAND",
"state": "SC",
"postal_code": "29905",
"telephone_number": "843-228-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKOV",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2024-07-07",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "27656",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "19162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parris Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.