Organization
ROPER HOSPITAL, INC.
Active
Other names
Roper Professional Billing & Collections
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET JOHNSON (CFO)
(843) 724-2946
Entity
Organization
Contact information
Practice address
125 DOUGHTY ST, SUITE 400, CHARLESTON, SC 29403-5736
(843) 789-1620
(843) 724-2454
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
000520
SC
103G00000X
Clinical Neuropsychologist
520
SC
207Q00000X
Family Medicine Physician
Primary
22518
SC
207R00000X
Internal Medicine Physician
22489
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
TL29749
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
TL30258
SC
207XS0106X
Orthopaedic Hand Surgery Physician
20903
SC
2080N0001X
Neonatal-Perinatal Medicine Physician
19311
SC
2086S0129X
Vascular Surgery Physician
27482
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
19281
SC
261QR0200X
Radiology Clinic/Center
—
—
363L00000X
Nurse Practitioner
APN2541
SC
363LN0000X
Neonatal Nurse Practitioner
00048029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF9180
RR MEDICARE
SC
01
—
CH8347
RR MEDICARE
SC
05
—
GP1400
—
SC
05
—
GP3299
—
SC
05
—
GP3572
—
SC
05
—
GP3787
—
SC
05
—
GP4051
—
SC
05
—
GP4466
—
SC
05
—
GP4799
—
SC
Enumeration date
01/08/2007
Last updated
01/14/2008
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