Individual provider Active NPI

Mark Allen Bechtel, D.O.

  • Family Medicine Physician
  • Port Royal, SC
National Provider Identifier
1962493361
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006-00859 Issued in NC
Practice address
1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone
(843) 524-3344
Fax
(844) 295-9894
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TL996 SC
Family Medicine Physician 207Q00000X 2006-00859 NC Primary

Addresses

Primary practice location

1680 Ribaut Rd
Port Royal, SC 29935-2008

Mailing address

PO Box 531797
Atlanta, GA 30353-1797
Phone (704) 834-2450

Other practice location 1

1200 Village Harbor Dr
Lake Wylie, SC 29710-9092
Phone (803) 631-2858

Other practice location 2

1895 Hoffman Rd Ste B
Gastonia, NC 28054-6557
Phone (704) 861-8669

Other identifiers 3

IdentifierTypeStateIssuer
1962493361MedicaidNC
009966MedicaidSC
P00349261OtherSCRAILROAD MEDICARE

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
I20060814000541 SC Practitioner - Family Practice 3476533928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial Hospital 197 clinicians

Practice addresses (Care Compare)

1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL996SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort County Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
Beaufort County Memorial Hospital Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jan 1, 2020 Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients

Locations

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

955 Ribaut Rd
#C
Beaufort, SC 29902

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

1 Burnt Church Rd
#A
Bluffton, SC 29910
Phone (843) 706-2185

1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600

Interoperability endpoints

  • Direct secure messaging: mark.bechtel.2@16436.direct.athenahealth.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1962493361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531797",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303531797",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 RIBAUT RD",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352008",
            "telephone_number": "843-524-3344",
            "fax_number": "844-295-9894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Village Harbor Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Wylie",
            "state": "SC",
            "postal_code": "297109092",
            "country_code": "US",
            "telephone_number": "803-631-2858",
            "fax_number": "803-631-2862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1895 Hoffman Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280546557",
            "country_code": "US",
            "telephone_number": "704-861-8669",
            "fax_number": "704-865-5081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECHTEL",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "TL996",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-00859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962493361",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009966",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00349261",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Royal, SC

Sources for this page

Verify at the official NPI Registry.