NPIMap

Organization Active NPI

Charleston Thyroid Center, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Mount Pleasant, SC
National Provider Identifier
1548759780
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
CHARLESTON THYROID CENTER, LLC
Practice address
1054 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-3153
Phone
(843) 388-7545
Fax
(843) 388-5548
NPI assigned
May 3, 2018
Last updated
Jan 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Dr. Brittany Bohinc HendersonNPI 1376746453
Title
Owner/MD
Phone
(843) 388-7545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1054 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-3153

Mailing address

1054 Johnnie Dodds Blvd Ste a
Mount Pleasant, SC 29464-3153
Phone (843) 388-7545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181113000740 SC Part B Supplier - Clinic/Group Practice 2668726571 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Pleasant, SC

National Provider Directory

National Provider Directory

Locations

874 Lowcountry Blvd Ste 100
Mount Pleasant, SC 29464

875 Lowcountry Blvd
Mount Pleasant, SC 29464

1054 Johnnie Dodds Blvd
Ste A
Mt Pleasant, SC 29464
Phone 80428882041129

875 Lowcountry Blvd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 388-7545

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1548759780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 JOHNNIE DODDS BLVD STE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643153",
            "telephone_number": "843-388-7545",
            "fax_number": "843-388-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 JOHNNIE DODDS BLVD STE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643153",
            "telephone_number": "843-388-7545",
            "fax_number": "843-388-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON THYROID CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "BOHINC",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "843-388-7545",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.