BEAUFORT MEMORIAL RADIATION ONCOLOGY
NPI 1174769764
Radiology - Radiation Oncology in Beaufort, SC

NPI Status: Active since January 02, 2009

Contact Information

989 RIBAUT RD STE 130
BEAUFORT, SC
ZIP 29902
Phone: (843) 522-7800
Fax: (843) 522-7800

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  • Organization
  • Radiology
  • Radiation Oncology
  • Accepts Insurance

About BEAUFORT MEMORIAL RADIATION ONCOLOGY

This page provides the complete NPI Profile along with additional information for Beaufort Memorial Radiation Oncology, a provider established in Beaufort, South Carolina operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1174769764 assigned on January 2009. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Beaufort Memorial Radiation Oncology. The authorized official of this NPI record is Edmond Russell Baxley Iii (Ceo)

NPI
1174769764
Provider Legal Name
BEAUFORT COUNTY MEMORIAL HOSPITAL
Other Organization Name
BEAUFORT MEMORIAL RADIATION ONCOLOGY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
989 RIBAUT RD STE 130 BEAUFORT, SC 29902
Location Phone
(843) 522-7800
Location Fax
(843) 522-7800
Mailing Address
955 RIBAUT RD BMAC CREDENTIALING BEAUFORT, SC 29902
Mailing Phone
(843) 522-5785
Mailing Fax
(843) 522-7800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2009
Last Update Date
06-04-2020
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Location Map

Secondary Locations

  • 122 Okatie Center Blvd N Ste 102
    Okatie, SC 29909
    (843) 522-7800

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Blue Beaufort Bronze 1 - HMO
  • Blue Beaufort Bronze 2 - HMO
  • Blue Beaufort Gold 1 - HMO
  • Blue Beaufort Silver 1 - HMO
  • Blue Beaufort Silver 2 - HMO
  • Blue Beaufort Silver 2 + Adult Vision - HMO
  • Blue Beaufort Standard Expanded Bronze - HMO
  • Blue Beaufort Standard Gold - HMO
  • Blue Beaufort Standard Silver - HMO
  • Blue Direction Bronze 1 - POS
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EDMOND RUSSELL BAXLEY III

Authorized Official Title
CEO
Authorized Official Phone
(843) 522-5140

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GP8977MEDICAID (05)SC 

Reviews for BEAUFORT MEMORIAL RADIATION ONCOLOGY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174769764, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 4 + 6 + 1 + 8 + 7 + 1 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1174769764.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174769764, enumerated as an "organization" on January 02, 2009.

The provider is located at 989 RIBAUT RD STE 130 BEAUFORT, SC 29902 and the phone number is (843) 522-7800.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.