MEDICARE: ROPER SAINT FRANCIS PHYSICIANS NETWORK

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	207R00000X	Internal Medicine Physician		SC
2	2083X0100X	Occupational Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	252	OTHER	SC	BCBS SC AND BLUECHOICE SUFFIX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801203047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROPER SAINT FRANCIS PHYSICIANS NETWORK

Provider Business Mailing Address
First Line	:	PO BOX 751649
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	888-472-0043
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	8950 UNIVERSITY BLVD STE 100
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9891
Country	:	US
Telephone Number	:	843-402-5053
Fax Number	:	843-724-1325

Authorized Official
Title or Position	:	VP AMBULATORY CARE
Name	:	ROBERT RALPH OLIVERIO JR.
Credential	:
Telephone Number	:	843-789-1665

Provider Enumeration Date	:	07/21/2014
Last Update Date	:	01/30/2026

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