Port City Plastic Surgery, LLC
NPI 1437385788 · Plastic and Reconstructive Surgery Physician · North Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port City Plastic Surgery, LLC is a Plastic and Reconstructive Surgery Physician organization in North Charleston, SC (NPI 1437385788).
Provider details
- NPI number
- 1437385788
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Widenhouse, Owner(843) 856-8398
- License
- 200096 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-01
- Last updated
- 2017-03-09
Frequently asked questions
- What is Port City Plastic Surgery, LLC's NPI number?
- Port City Plastic Surgery, LLC's National Provider Identifier (NPI) is 1437385788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port City Plastic Surgery, LLC?
- Port City Plastic Surgery, LLC is classified in the NPPES registry as Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Port City Plastic Surgery, LLC located?
- Port City Plastic Surgery, LLC's practice location on file with NPPES is 2683 Lake Park Dr, North Charleston, SC 29406-9100.
- What is Port City Plastic Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Port City Plastic Surgery, LLC is (843) 518-5000.
- Does Port City Plastic Surgery, LLC accept Medicare?
- Port City Plastic Surgery, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Port City Plastic Surgery, LLC?
- The authorized official listed on Port City Plastic Surgery, LLC's NPPES record is Brian Widenhouse, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port City Plastic Surgery, LLC's NPI active?
- Yes — Port City Plastic Surgery, LLC's NPI (1437385788) is active in the NPPES registry as of the last update on 2017-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.