Bobby Mitchell, M.SC.

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

9228 Vollmerhausen Rd
Jessup, MD 20794-9518

Phone

(240) 422-2123

NPI assigned

Oct 18, 2011

Last updated

Oct 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• BJ Mitchell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1215212543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "SAVAGE",
            "state": "MD",
            "postal_code": "207630507",
            "telephone_number": "240-422-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 VOLLMERHAUSEN RD",
            "city": "JESSUP",
            "state": "MD",
            "postal_code": "207949518",
            "telephone_number": "240-422-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BOBBY",
        "credential": "M.SC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BJ",
            "last_name": "MITCHELL",
            "credential": "M.SC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Other Specialist/Technologist in Jessup, MD
• Providers in Jessup, MD by specialty
• Other Specialist/Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.