Biologic P and O, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BIOLOGIC P AND O, LLC

Practice address

2664 Saint Matthews Rd Ste B
Orangeburg, SC 29118-1344

Phone

(803) 534-6567

Fax

(803) 937-6566

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Carey Alan Bunch, CPO/LNPI 1497002760

Title

Ceo

Phone

(803) 534-6567

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Biologic P and O, LLC

  • Occupational Therapist
  • Orangeburg, SC
  • NPI 1518581222

  0648563080

  Same PAC ID

Locations

Practitioners 2

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

• Carey Alan Bunch, CPO

  • Prosthetist
  • Orangeburg, SC
  • NPI 1497002760

  Orthotist

  NPD Authorized official
• Jennifer S Bunch, OTR/L

  • Gerontology Occupational Therapist
  • Orangeburg, SC
  • NPI 1740433465
  NPD

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1871950543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 SAINT MATTHEWS RD STE B",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181344",
            "telephone_number": "803-534-6567",
            "fax_number": "803-937-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2664 SAINT MATTHEWS RD STE B",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291181344",
            "telephone_number": "803-534-6567",
            "fax_number": "803-937-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOLOGIC P AND O, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-534-6567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO/L"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3716",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Hills Bessent
• Arline Bethea
• Patrick Bik
• Bio-Medical Applications of South Carolina, Inc. (Fresenius Kidney Care Orangeburg)
• Biologic P and O, LLC
• Black River Labs and Wellness Center
• Black River Labs and Wellness Center
• Black River Labs and Wellness Center
• Matthew Lynn Blackburn, M.D.
• Sally S Blake, FNP-C

• Prosthetic/Orthotic Supplier in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.