Active NPI
Michael A Bishop I
- Paramedic
- Fort Rucker, AL
National Provider Identifier
1013483122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- M500570
- Practice address
- Lyster Army Health Clinic
BLDG 301 Andrews Ave
Fort Rucker, AL 36362 - Phone
- (334) 255-7986
- NPI assigned
- Oct 16, 2018
- Last updated
- Oct 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | M500570 | TX | Primary |
Addresses
Primary practice location
Lyster Army Health Clinic
BLDG 301 Andrews Ave
Fort Rucker, AL 36362
Mailing address
Lyster Army Health Clinic
BLDG 301 Andrews Ave
Fort Rucker, AL 36362
Phone (334) 255-7986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M500570 | TX | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1013483122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LYSTER ARMY HEALTH CLINIC",
"address_2": "BLDG 301 ANDREWS AVE",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "334-255-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LYSTER ARMY HEALTH CLINIC",
"address_2": "BLDG 301 ANDREWS AVE",
"city": "FORT RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "334-255-7986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "MICHAEL",
"middle_name": "A",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "TX",
"license": "M500570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.