Healthcare Provider Details

I. General information

NPI: 1295534956
Provider Name (Legal Business Name): ROPER ST FRANCIS HOSPITAL-BERKELEY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CALLEN BLVD
SUMMERVILLE SC
29486-2807
US

IV. Provider business mailing address

PO BOX 632508
CINCINNATI OH
45263-2508
US

V. Phone/Fax

Practice location:
  • Phone: 854-529-3100
  • Fax: 843-529-3083
Mailing address:
  • Phone: 888-472-0043
  • Fax: 513-653-4122

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: REBECCA TUCKER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 843-203-2265