DR. CHARLES A BICKERSTAFF JR. (NPI# 1972584712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972584712 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A BICKERSTAFF JR. |
| Credential | MD |
| Practice Address |
102 Wappoo Creek Dr Ste 10c Charleston SC 29412 |
| Mailing Address |
452 Folly Rd Suite A Charleston SC 29412-2641 |
| Practice Telephone | 8437629321 |
| Practice Fax Number | 8434069777 |
| Mailing Telephone | 8437629321 |
| Mailing Fax Number | 8434069777 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
8659 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3774 | 05 |
| Street Address |
102 WAPPOO CREEK DR STE 10C |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063680197 | Carolina Gastroenterology & Nutrition Clinics, LLC | Specialist | 102 Wappoo Creek Dr Ste 10c, Charleston, SC 29412 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219055 | Terra Rae Mchugh | Speech-Language Pathologist | 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 | 2020-03-07 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
| 1366932717 | Harborview Speech Therapy, LLC | Speech-Language Pathologist | 783 Stebbins Street, Charleston, SC 29412 | 2018-05-11 |
| 1780193003 | Grace K Cotton | Speech-Language Pathologist | 1265 Marshview Dr, Charleston, SC 29412 | 2017-09-29 |
| 1639628449 | Matthew Husband | Occupational Therapist | 930 Folly Road, Suite B, Charleston, SC 29412 | 2016-09-22 |
| 1679941843 | Renee Poser | Pharmacist | 907 Folly Rd Suite A, James Island, SC 29412 | 2015-09-04 |
| 1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
| 1104147818 | Glendolyn Harrison | Social Worker | 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 | 2010-06-16 |
| 1487986055 | Rachel E. Brunette | Physical Therapist | 418 B Folly Rd., Charleston, SC 29412 | 2010-02-08 |
| Find all providers in zip 29412 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398721 | Brooke Alexa Brooks | Internal Medicine | 25 Courtenay Dr # 7018, Charleston, SC 29425-8911 | 2019-10-18 |
| 1982134508 | Future Medical, Pllc | Internal Medicine | 2335 Chesterfield Ave Ste 302, Charleston, WV 25304-1066 | 2017-06-15 |
| 1184934952 | Shailendra Singh | Internal Medicine | 3100 Maccorkle Ave Se # Se509, Charleston, WV 25304-1223 | 2010-10-14 |
| 1558687111 | Hamza Walid Shah | Internal Medicine | 3100 Maccorkle Ave Se Ste 509, Charleston, WV 25304-1226 | 2010-04-07 |
| 1760691596 | Logan Gastroenterology | Internal Medicine | 6 Woodcrest Ln, Charleston, WV 25314-2472 | 2007-05-21 |
| 1336257294 | Joseph Romagnuolo | Internal Medicine | 109 Bee St Ste C413, Charleston, SC 29401-5703 | 2006-08-29 |
| 1780692277 | Harry Earl Duncan Jr. | Internal Medicine | 3100 Maccorkle Avenue, Suite 509, Charleston, WV 25304-1226 | 2006-08-03 |
| 1811941982 | Kassamo Dayemo | Internal Medicine | 1606 Ashley River Rd, Charleston, SC 29407-5902 | 2006-05-21 |
| 1811975923 | Todd Ellis Dantzler | Internal Medicine | 25 Courtenay Dr # 7100a, Msc 290, Charleston, SC 29425-2900 | 2006-01-09 |
| 1639154206 | Lee Michael Oberman | Internal Medicine | 1919 Westminster Rd, Charleston, SC 29407-3330 | 2005-12-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29412 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.