Active NPI
Marjory Bernard Wells, CERTIFIED NURSE MIDW
- Advanced Practice Midwife
- Surfside Beach, SC
National Provider Identifier
1962687160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 466
- Practice address
- 1945 Glenns Bay Rd
Surfside Beach, SC 29575 - Phone
- (843) 650-1700
- Fax
- (843) 650-4228
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 466 | SC | Primary |
Addresses
Primary practice location
1945 Glenns Bay Rd
Surfside Beach, SC 29575
Mailing address
PO Box 14370
Surfside Beach, SC 29587
Phone (843) 650-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 466 | SC | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1962687160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14370",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "29587",
"telephone_number": "843-650-1700",
"fax_number": "843-650-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 GLENNS BAY RD",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "29575",
"telephone_number": "843-650-1700",
"fax_number": "843-650-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "MARJORY",
"middle_name": "BERNARD",
"name_prefix": "Mrs.",
"credential": "CERTIFIED NURSE MIDW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "SC",
"license": "466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.