Individual provider Active NPI

William John Bulsiewicz Jr., MD, MSCI

  • Gastroenterology Physician
  • Mount Pleasant, SC
National Provider Identifier
1821247693
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
38981 Issued in SC
Practice address
1300 Hospital Dr
Suite 300
Mount Pleasant, SC 29464-3261
Phone
(843) 884-5200
NPI assigned
Sep 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 72194 GA
Gastroenterology Physician 207RG0100X 38981 SC Primary

Addresses

Primary practice location

1300 Hospital Dr
Suite 300
Mount Pleasant, SC 29464-3261

Mailing address

1300 Hospital Dr
Suite 300
Mount Pleasant, SC 29464-3261
Phone (843) 884-5200

Other identifiers 1

IdentifierTypeStateIssuer
202I104133OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160520001315 SC Practitioner - GastroenterologyPractitioner - Internal Medicine 9436298510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72194GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisburg Hospitalists, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.bulsiewicz@1078305382137860.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1821247693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643261",
            "telephone_number": "843-884-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643261",
            "telephone_number": "843-884-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULSIEWICZ",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD, MSCI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "72194",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "38981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "202I104133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.