Organization Active NPI

Bonsain Complete Women's Healthcare

  • Gynecology Physician
  • Bluffton, SC
National Provider Identifier
1821317363
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
30791 Issued in SC
Legal business name
BONSAIN COMPLETE WOMEN'S HEALTHCARE
Practice address
29 Plantation Park Dr Ste 204
Bluffton, SC 29910-9008
Phone
(843) 715-0570
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Ms. Stacey Marie Bartlow
Title
Billing
Phone
(843) 684-5501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 30791 SC Primary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X 30791 SC

Addresses

Primary practice location

29 Plantation Park Dr Ste 204
Bluffton, SC 29910-9008

Mailing address

29 Plantation Park Dr Ste 204
Bluffton, SC 29910-9008
Phone (843) 715-0570

National Provider Directory

National Provider Directory

Locations

300 New River Pkwy
Ste 36
Hardeeville, SC 29927
Phone (843) 208-2299

Practitioners & affiliated clinicians

Practitioners 1

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": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1821317363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR STE 204",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109008",
            "telephone_number": "843-715-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR STE 204",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109008",
            "telephone_number": "843-715-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONSAIN COMPLETE WOMEN'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "BARTLOW",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "843-684-5501",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "30791",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "SC",
            "license": "30791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.