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BERKELEY MEDICAL CENTER, LLC
NPI 1417137803
Internal Medicine in Moncks Corner, SC

Active since November 14, 2007
106 W MAIN ST, MONCKS CORNER, SC 29461(843) 761-1995(843) 761-3257 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Berkeley Medical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERKELEY MEDICAL CENTER, LLC (NPI 1417137803) is a healthcare organization registered as an internal medicine in Moncks Corner, South Carolina and active in the NPI registry since November 2007. The organization lists Rose D. Gibbs, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1417137803
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBERKELEY MEDICAL CENTER, LLC
Location Address106 W MAIN STMoncks Corner, SC 29461-2601
Mailing Address106 W Main StMoncks Corner, SC 29461-2601 · (843) 761-1995 · Fax (843) 761-3257
Phone(843) 761-1995
Fax(843) 761-3257
Organization SubpartNo
Authorized OfficialRose D. GibbsMedical Doctor · (843) 761-1995
Enumeration DateNovember 14, 2007
Last NPPES UpdateMarch 28, 2016
✔ NPI 1417137803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
106 W MAIN ST, Moncks Corner, SC 29461
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Other Identifiers 3

Medicare PIN423851SC
MedicaidRHC038SC
Medicare OSCAR/certification423851SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL CAROLINA PRIMARY CARE, LLC
Clinic/Center (Rural Health)
106 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 761-1995
ROSE DELORES GIBBS MD
Internal Medicine
106 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 761-1995
FETTER HEALTH CARE NETWORK, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
106 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 761-1995
MS. MICHELLE LOUISE DAVIS FNP
Nurse Practitioner (Family)
106 W MAIN ST
MONCKS CORNER, SC 29461
Berkeley County (843) 761-1995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Berkeley Medical Center, LLC's NPI number?

The NPI number for Berkeley Medical Center, LLC is 1417137803. It was assigned to this organization in the NPPES registry on November 14, 2007.

Where is Berkeley Medical Center, LLC located?

Berkeley Medical Center, LLC is located at 106 W Main St, Moncks Corner, SC 29461. The listed phone number is (843) 761-1995.

What is Berkeley Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Berkeley Medical Center, LLC was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.