Individual provider Active NPI

Richard Herman Woerndle, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • Beaufort, SC
National Provider Identifier
1639298912
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
39077 Issued in SC
Practice address
955 Ribaut Rd
Beaufort, SC 29902-5441
Phone
(843) 522-5200
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 5101016363 MI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 34.004065 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 39077 SC Primary

Addresses

Primary practice location

955 Ribaut Rd
Beaufort, SC 29902-5441

Mailing address

955 Ribaut Rd
Bmac Credentialing
Beaufort, SC 29902-5441
Phone (843) 522-7843

Other identifiers 1

IdentifierTypeStateIssuer
390776MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC, GU, OH4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071107000177 NC Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 8527959873 Reassigns benefits to 1 organization
I20160609001835 SC Practitioner - Critical Care (Intensivists) 8527959873 Reassigns benefits to 2 organizations
I20210421002266 GU Practitioner - Internal Medicine 8527959873 Reassigns benefits to 1 organization
I20250725003988 OH Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 8527959873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000

550 Mirabeau St
Greenfield, OH 45123-1617
Phone (937) 981-9259

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101016363MIMDCritical Care Medicine (Internal Medicine) Physician
34.004065OHMDCritical Care Medicine (Internal Medicine) Physician
39077SCMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
Southeastern Regional Medical Center CurrentSince Mar 30, 2021 Accepting new patients
Guam Memorial Hospital CurrentSince Jan 29, 2021 Accepting new patients
Southeastern Regional Medical Center Current Accepting new patients
Southeastern Regioinal Medical Center Critical Care Medicine CurrentSince Mar 30, 2021 Accepting new patients
Adena Medical Group LLC CurrentSince May 18, 2025 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
Guam Memorial Hospital CurrentSince Jan 29, 2021 Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

800 Martin Luther King Jr Dr
Lumberton, NC 28358
Phone (910) 370-0815

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

955 Ribaut Rd
#C
Beaufort, SC 29902

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

Interoperability endpoints

  • Direct secure messaging: rwoerndle846196@direct.unc.nchie.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1639298912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "address_2": "BMAC CREDENTIALING",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-7843",
            "fax_number": "843-522-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOERNDLE",
        "first_name": "RICHARD",
        "middle_name": "HERMAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MI",
            "license": "5101016363",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "34.004065",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "39077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390776",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.