ALEXIS ANN VIOLETTE OGBONNA MD NPI 1124693502

NPI Information

  • NPI: 1124693502
  • Provider Name: ALEXIS ANN VIOLETTE OGBONNA, MD
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 96 JONATHAN LUCAS ST STE 210
    MSC 323
    CHARLESTON, SC
    ZIP 29425
  • Phone: (859) 608-4375

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NPI Details

Alexis Ann Violette Ogbonna, MD is a body imaging radiology in Charleston, SC. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Alexis Ann Violette Ogbonna, MD NPI is 1124693502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

96 JONATHAN LUCAS ST STE 210
MSC 323
CHARLESTON, SC
ZIP 29425-900
Phone: (859) 608-4375

The NPI 1124693502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2021 and was last updated on 12/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody Imaging86121SOUTH CAROLINAYes
2207Q00000XFamily Medicine86121SOUTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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