Active NPI
John E Bianco, MD
- General Practice Physician
- Greer, SC
National Provider Identifier
1538128939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 20153
- Practice address
- 28 Chestnut Springs CT
Greer, SC 29651-2327 - Phone
- (678) 373-7945
- NPI assigned
- Mar 23, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 059683 | GA | |
| General Practice Physician | 208D00000X | 20153 | SC | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME79529 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 059683 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME79529 | FL |
Addresses
Primary practice location
28 Chestnut Springs CT
Greer, SC 29651-2327
Mailing address
28 Chestnut Springs CT
Greer, SC 29651-2327
Phone (678) 373-7945
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268626100 | Medicaid | FL | |
| 30BDNSQ | Other | GA | MEDICARE |
| 118539404G | Medicaid | GA |
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 |
|---|---|---|---|
| 20153 | SC | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Lagrange Troup County Hospital Authority | Past | Accepting new patients | |
| Tower Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Tampa PA | Diagnostic Radiology | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Georgia Medical Center
- General Acute Care Hospital
- Lagrange, GA
- NPI 1992779748
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1437351988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1538128939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CHESTNUT SPRINGS CT",
"city": "GREER",
"state": "SC",
"postal_code": "296512327",
"telephone_number": "678-373-7945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 CHESTNUT SPRINGS CT",
"city": "GREER",
"state": "SC",
"postal_code": "296512327",
"telephone_number": "678-373-7945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCO",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "059683",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "20153",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME79529",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "059683",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME79529",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268626100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "30BDNSQ",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118539404G",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.