NPIMap

Organization Active NPI

Bon Secours St Francis Xavier Hospital, Inc.

  • Rheumatology Physician
  • Charleston, SC
National Provider Identifier
1700601879
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.
Practice address
2085 Henry Tecklenburg Dr Ste 320
Charleston, SC 29414-7713
Phone
(843) 571-6067
Fax
(843) 769-4853
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Matthew Desmond
Title
VP Ops-Acute Care
Phone
(843) 724-2103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

2085 Henry Tecklenburg Dr Ste 320
Charleston, SC 29414-7713

Mailing address

PO Box 632509
Cincinnati, OH 45263-2509
Phone (888) 472-0043

Other names 1

  • Roper St. Francis Rheumatology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041011000439 SC Part B Supplier - Clinic/Group Practice 8325008717 Receives reassigned benefits from 174 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charleston, SC; Walterboro, SC; Summerville, SC; N Charleston, SC; Mt Pleasant, SC

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours St Francis Hospital15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1483 Tobias Gadson Blvd
Ste 108
Charleston, SC 29407

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1700601879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632509",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632509",
            "telephone_number": "888-472-0043",
            "fax_number": "513-653-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 HENRY TECKLENBURG DR STE 320",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147713",
            "telephone_number": "843-571-6067",
            "fax_number": "843-769-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS ST FRANCIS XAVIER HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "DESMOND",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VP OPS-ACUTE CARE",
        "authorized_official_telephone_number": "843-724-2103"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roper St. Francis Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.