Bobby Earl Ward II, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11121 Issued in NC

Practice address

1315 S Glenburnie Rd Ste D17
New Bern, NC 28562-2614

Phone

(252) 671-6237

NPI assigned

Sep 30, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1104644095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HAGAR LN",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285733200",
            "telephone_number": "252-671-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S GLENBURNIE RD STE D17",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622614",
            "telephone_number": "252-671-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "BOBBY",
        "middle_name": "EARL",
        "name_suffix": "II",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "11121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Ernest Lee Walker III, PHARM D
• Patrick James Walsh, MD
• Alicia Walton
• Zoe Waniewski
• Richard Mayhew Ward, MD
• Susan Warren Ward, PT
• Wendy Ward
• Catherine Bailey Warner, DDS
• Karen Churchill Warner, LCSW

• Massage Therapist in New Bern, NC
• Providers in New Bern, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.