MEDICARE: GREGORY LOUIS BERES PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	101514	NC
2	363AM0700X	Medical Physician Assistant	4073	SC

General Provider Information

NPI Number	:	1306831383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY LOUIS BERES PA-C

Provider Business Mailing Address
First Line	:	2880 TRICOM ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9171
Country	:	US
Telephone Number	:	843-797-5050
Fax Number	:	843-797-3633

Provider Business Practice Location Address
First Line	:	2880 TRICOM ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9171
Country	:	US
Telephone Number	:	843-797-5050
Fax Number	:	843-797-3633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	07/27/2022

Similar Medicare Providers

1932501376 — LAMAR CLINTON HOOD PA-C
Practice Location Address:

2880 TRICOM ST
NORTH CHARLESTON, SC
29406-9171

Practice Phone: 843-797-5050
Practice Fax: 843-797-3633

1205769312 — CAMERON DUVALL
Practice Location Address:

2890 TRICOM ST
NORTH CHARLESTON, SC
29406-9171

Practice Phone: 843-797-6600
Practice Fax:

1255950952 — GUILLAUME FARAH
Practice Location Address:

2890 TRICOM ST
NORTH CHARLESTON, SC
29406-9171

Practice Phone: 843-797-6600
Practice Fax:

1205824489 — DR. NELSON RANDOLPH PLOCH M.D.
Practice Location Address:

2890 TRICOM STREET
NORTH CHARLESTON, SC
29406-9171

Practice Phone: 843-797-6600
Practice Fax: 843-820-1440

1578551750 — DR. FREDERICK JAMES GOULDING M.D.
Practice Location Address:

2890 TRICOM STREET
NORTH CHARLESTON, SC
29406-9171

Practice Phone: 843-797-6600
Practice Fax: 843-820-1440

1467440644 — PALMETTO ADULT AND CHILDRENS UROLOGY PA
Practice Location Address:

2890 TRICOM ST
NORTH CHARLESTON, SC
29406-9171

Practice Phone: 843-797-6600
Practice Fax: 843-820-1440

Directions to “ GREGORY LOUIS BERES PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.