Active NPI
Mark Allen Bechtel, D.O.
- Family Medicine Physician
- Port Royal, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2006-00859
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962493361 | Medicaid | NC | |
| 009966 | Medicaid | SC | |
| P00349261 | Other | SC | RAILROAD 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-3344
Hospital & facility affiliations
- Beaufort County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL996 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | 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
- 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.
-
- Rural Health Clinic/Center
- Varnville, SC
- NPI 1033175344
-
- Family Medicine Physician
- Beaufort, SC
- NPI 1063024578
-
- Radiation Oncology Physician
- Beaufort, SC
- NPI 1174769764
-
- Surgery Physician
- Okatie, SC
- NPI 1235861501
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
- Rehabilitation Hospital Unit
- Beaufort, SC
- NPI 1548250459
-
- Psychiatric Hospital Unit
- Beaufort, SC
- NPI 1629068531
-
- Pulmonary Disease Physician
- Okatie, SC
- NPI 1831764927
-
- Internal Medicine Physician
- Bluffton, SC
- NPI 1992327845
-
- Obstetrics & Gynecology Physician
- Beaufort, SC
- NPI 1235552746
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
- Beaufort Jasper Hampton Comprehensive Health Services, Inc.
- Beaufort Jasper Hampton Comprehensive Health Services, Inc.
- Beaufort Open MRI, LLC
- Beaufort-Jasper-Hampton Comprehensive Health Service Inc
- Beaufort-Jasper-Hampton Comprehensive Health Service,Inc
- Bio-Medical Applications of South Carolina, Inc.
- Yasmine Chate Bivins, PHARMD
- Blueprint for Change
- Johnpaul C Boulden, M.ED., LPC
- Alfredo Jorge Brand, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.