Paloma Antonia Bristol Bartley

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13659 Issued in NC

Practice address

991 W Hudson Blvd
Gastonia, NC 28052-6430

Phone

(704) 853-5191

Fax

(704) 853-5131

NPI assigned

Jan 23, 2021

Last updated

Jul 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Barnabas Health System Bronx

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
  • NPI 1073191193
  NPD

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1194315135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526430",
            "telephone_number": "704-853-5191",
            "fax_number": "704-853-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 W HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526430",
            "telephone_number": "704-853-5191",
            "fax_number": "704-853-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL BARTLEY",
        "first_name": "PALOMA",
        "middle_name": "ANTONIA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-23",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brighter Steps, LLC
• Rashaeda Bryant Brimley, MD
• Karen Holmes Bringle, MSW,LCSW,LCAS
• Rachael Christina Brinning, CRNA
• Britney Shamare Brinson, CNM
• Elizabeth Gravatt Brittain, LDN
• Courtney Nicole Broderick, MS, CCC-SLP
• John Anthony Brodston, M.D.
• Abigail Carter Brody, MA, LCMHC
• Charity Brogdon, LCSWA

• General Practice Dentistry in Gastonia, NC
• Providers in Gastonia, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.