Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kyle R Bauer, MD

Individual provider Anesthesiology Physician · NPI 1396031134

Dr. Kyle R Bauer, MD is an Anesthesiology in Charleston, South Carolina. Graduated from Ohio State University College of Medicine in 2011, 15 years ago. Practices with Blue Lake Health Springhill LLC, a 50-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
15
Trained at
Ohio State University College of Medicine
Licensed in
SC
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

169 Ashley Ave Rm 202 Main Hospital MSC333
Charleston, SC 29425-8905
Phone: (843) 792-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MMD.33858LL (SC)

Record details

NPI number1396031134
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 20, 2011
Last updated in NPPESJune 20, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Blue Lake Health Springhill Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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