Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Patrick Wimberly, MD

Individual provider Anesthesiology Physician · NPI 1669694030

Mark Patrick Wimberly, MD is an Anesthesiology in Charleston, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2004, 22 years ago. Practices with Trident Anesthesia Group LLC, a 119-clinician group and accepts Medicare assignment. Licensed in Alabama and South Carolina.

Years since qualifying
22
Trained at
Medical University of South Carolina College of Medicine
Licensed in
AL, SC
In the registry since
2007
Specialties on file
2
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

9326 Medical Plaza Dr Ste E
Charleston, SC 29406-7112
Phone: (843) 572-1228
Fax: (877) 561-7564
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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 26950 (SC)
Anesthesiology Physician Taxonomy 207L00000X · Licence 27166 (AL)

Record details

NPI number1669694030
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJune 6, 2012

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Trident Anesthesia Group Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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