Individual provider Active NPI

John Steven Bockelman, RRT

  • Registered Respiratory Therapist
  • Prescott, AZ
National Provider Identifier
1114933025
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
3425 Issued in AZ
Practice address
637 Donny Brook Cir
Prescott, AZ 86303-6722
Phone
(928) 717-0050
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 3425 AZ Primary

Addresses

Primary practice location

637 Donny Brook Cir
Prescott, AZ 86303-6722

Mailing address

637 Donny Brook Cir
Prescott, AZ 86303-6722
Phone (928) 717-0050

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114933025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 DONNY BROOK CIR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036722",
            "telephone_number": "928-717-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 DONNY BROOK CIR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036722",
            "telephone_number": "928-717-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKELMAN",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AZ",
            "license": "3425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.