Biologic P and O, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BIOLOGIC P AND O, LLC

Practice address

2664 Saint Matthews Rd Ste B
Orangeburg, SC 29118-1344

Phone

(803) 534-6567

Fax

(803) 937-6566

NPI assigned

May 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Carey Alan Bunch, CPONPI 1497002760

Title

Ceo

Phone

(803) 534-6567

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Biologic P and O, LLC

  • Prosthetic/Orthotic Supplier
  • Orangeburg, SC
  • NPI 1871950543

  0648563080

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carey Alan Bunch, CPO

  • Prosthetist
  • Orangeburg, SC
  • NPI 1497002760

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1518581222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 SAINT MATTHEWS RD STE B",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181344",
            "telephone_number": "803-534-6567",
            "fax_number": "803-937-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 SAINT MATTHEWS RD STE B",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181344",
            "telephone_number": "803-534-6567",
            "fax_number": "803-937-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOLOGIC P AND O, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-534-6567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Bess
• Miriam Hills Bessent
• Arline Bethea
• Patrick Bik
• Bio-Medical Applications of South Carolina, Inc. (Fresenius Kidney Care Orangeburg)
• Biologic P and O, LLC
• Black River Labs and Wellness Center
• Black River Labs and Wellness Center
• Black River Labs and Wellness Center
• Matthew Lynn Blackburn, M.D.

• Occupational Therapist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.