Wellformed AI

NPI 1609833680 · live from the CMS NPI Registry

Wayne B Bauerle, MD

Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Myrtle Beach, SC. National Provider Identifier 1609833680, active.

NPI record

NPI1609833680 Type 1 · individual
StatusActive
Primary specialtyOrthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X
Practice location210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579
Practice phone843-236-3222
Mailing address210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579
EnumeratedApril 26, 2006
Last updatedJuly 20, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary207XS0117X19635 (SC)
Orthopaedic Surgery207X00000X19635 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.