Individual provider Active NPI

Aubrey Hughes Bauer, PA

  • Physician Assistant
  • Mt Pleasant, SC
National Provider Identifier
1962830703
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TL 1982 Issued in SC
Practice address
1439 Stuart Engals Blvd
Ste 100
Mt Pleasant, SC 29464-3686
Phone
(843) 853-7730
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TL 1982 SC Primary

Addresses

Primary practice location

1439 Stuart Engals Blvd
Ste 100
Mt Pleasant, SC 29464-3686

Mailing address

1439 Stuart Engals Blvd
Ste 100
Mt Pleasant, SC 29464-3686

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1982SCMDOccupational Therapist
TL 1982SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Surgical Specialists, LLC CurrentSince Jun 30, 2014 Accepting new patients

Locations

1439 Stuart Engals Blvd
Mount Pleasant, SC 29464

1439 Stuart Engals Blvd
Unit 100
Mt Pleasant, SC 29464
Phone (843) 531-6615

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1962830703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 STUART ENGALS BLVD",
            "address_2": "STE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 STUART ENGALS BLVD",
            "address_2": "STE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643686",
            "telephone_number": "843-853-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "AUBREY",
        "middle_name": "HUGHES",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "TL 1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.