NPIMap

Organization Active NPI

Roper Radiologists PA

  • Diagnostic Radiology Physician
  • Charleston, SC
National Provider Identifier
1992789473
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ROPER RADIOLOGISTS PA
Practice address
316 Calhoun St
Charleston, SC 29401-1113
Phone
(843) 724-2015
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Matthew Brady, MDNPI 1114149788
Title
MD - Authorized Official
Phone
(843) 724-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X SC Primary

Addresses

Primary practice location

316 Calhoun St
Charleston, SC 29401-1113

Mailing address

PO Box 2363
Indianapolis, IN 46206-2363

Other identifiers 1

IdentifierTypeStateIssuer
GP0758MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, CA, TX, MD5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20031119000567 SC Part B Supplier - Clinic/Group Practice 6800700162 Receives reassigned benefits from 39 practitioners
Practice locations: Johns Island, SC; Moncks Corner, SC; Mount Pleasant, SC; North Charleston, SC; Charleston, SC; Goose Creek, SC
O20241008001466 GA Part B Supplier - Clinic/Group Practice 6800700162 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, GA
O20250528001437 CA Part B Supplier - Clinic/Group Practice 6800700162 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA
O20250709000918 TX Part B Supplier - Clinic/Group Practice 6800700162 Receives reassigned benefits from 1 practitioner
Practice locations: College Station, TX
O20250711002939 MD Part B Supplier - Clinic/Group Practice 6800700162 Receives reassigned benefits from 1 practitioner
Practice locations: Fulton, MD

National Provider Directory

National Provider Directory

Locations

333 Folly Rd
Charleston, SC 29412
Phone (843) 406-9889

2145 Henry Tecklenburg Dr
Ste 130
Charleston, SC 29414
Phone (843) 402-1006

2145 Henry Tecklenburg Dr
Ste 150
Charleston, SC 29414
Phone (843) 402-1006

2085 Henry Tecklenburg Dr
Ste 105
Charleston, SC 29414
Phone (843) 724-2154

3210 Landmark Dr
Charleston, SC 29418
Phone (843) 724-2061

16 Farmfield Ave
Bldg 4
Charleston, SC 29407
Phone (843) 769-4297

325 Folly Rd
#108
Charleston, SC 29412
Phone (843) 762-2320

3510 N Highway 17
Ste 205
Mt Pleasant, SC 29466
Phone (843) 606-7650

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1992789473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2363",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462062363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPER RADIOLOGISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MD - AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "843-724-2015",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0758",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.