BERKELEY FAMILY PRACTICE LLC NPI 1962420927

NPI Information

  • NPI: 1962420927
  • Provider Name: BERKELEY FAMILY PRACTICE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 42D1013960
  • Address: 2061 HIGHWAY 52
    MONCKS CORNER, SC
    ZIP 29461
  • Phone: (843) 761-8800

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NPI Details

BERKELEY FAMILY PRACTICE LLC is a family medicine in Moncks Corner, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BERKELEY FAMILY PRACTICE LLC NPI is 1962420927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2061 HIGHWAY 52
MONCKS CORNER, SC
ZIP 29461-017
Phone: (843) 761-8800
Fax: (843) 761-8824

The provider's authorized official is Jeffrey R Santi .
The authorized official title is M.d. - Partner and has the following contact phone number (843) 761-8800.

The CLIA number assigned to this NPI record is 42D1013960 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 5/25/2022.

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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA2416MEDICAIDSOUTH CAROLINA

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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