NPIMap

Individual provider Active NPI

Bruce Devon Ball, M.D.

  • Allergy & Immunology Physician
  • Mt Pleasant, SC
National Provider Identifier
1912909599
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
11111 Issued in SC
Practice address
180 Wingo Way
Suite 102
Mt Pleasant, SC 29464-3235
Phone
(843) 881-2030
Fax
(843) 881-6249
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 11111 SC Primary

Addresses

Primary practice location

180 Wingo Way
Suite 102
Mt Pleasant, SC 29464-3235

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other practice location 1

102 Morgan Pl
Summerville, SC 29485-8106
Phone (843) 832-9588

Other practice location 2

2090 Charlie Hall Blvd Ste 301
Charleston, SC 29414-8200
Phone (843) 556-9588

Other identifiers 1

IdentifierTypeStateIssuer
111113MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000105 SC Practitioner - Allergy/Immunology 8921137688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Medical University of South Carolina College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

180 Wingo Way
Suite 102
Mount Pleasant, SC 29464-1810
Phone (843) 881-2030

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11111SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1508468638 Allergy & Immunology CurrentSince Aug 1, 2023 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology CurrentSince Aug 1, 2023 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology Past Accepting new patients

Locations

2090 Charlie Hall Blvd
Ste 301
Charleston, SC 29414
Phone (843) 556-9588

46 Markfield Dr
Ste A
Charleston, SC 29407
Phone (843) 556-7048

180 Wingo Way
Ste 303
Mt Pleasant, SC 29464
Phone (843) 972-0940

180 Wingo Way
Ste 102
Mt Pleasant, SC 29464
Phone (843) 556-7048

102 Morgan Pl
Summerville, SC 29485
Phone (843) 832-9588

Organizations & group practices 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1912909599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WINGO WAY",
            "address_2": "SUITE 102",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643235",
            "telephone_number": "843-881-2030",
            "fax_number": "843-881-6249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Morgan Pl",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858106",
            "country_code": "US",
            "telephone_number": "843-832-9588",
            "fax_number": "843-486-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2090 Charlie Hall Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294148200",
            "country_code": "US",
            "telephone_number": "843-556-9588",
            "fax_number": "843-556-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "BRUCE",
        "middle_name": "DEVON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-10-19",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "SC",
            "license": "11111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111113",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

Verify at the official NPI Registry.