Active NPI
John Bobby, D. O.
- Family Medicine Physician
- Bethel Park, PA
National Provider Identifier
1265405427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS005128L
- Practice address
- 2000 Oxford Dr
Suite 220
Bethel Park, PA 15102-1827 - Phone
- (412) 831-1522
- Fax
- (412) 835-2746
- NPI assigned
- Feb 8, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS005128L | PA | Primary |
Addresses
Primary practice location
2000 Oxford Dr
Suite 220
Bethel Park, PA 15102-1827
Mailing address
1910 Cochran Rd # Manor2
Suite 490
Pittsburgh, PA 15220-1203
Phone (412) 531-2902
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080058903 | Other | RAILROAD MEDICARE PTAN | |
| 0011301260002 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Preferred Primary Care Physicians, Inc. | Family Medicine | Past | Accepting new patients |
| Preferred Primary Care Physicians | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1083765770
-
- Internal Medicine Physician
- Canonsburg, PA
- NPI 1407826019
Family Medicine
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1265405427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 COCHRAN RD # MANOR2",
"address_2": "SUITE 490",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152201203",
"telephone_number": "412-531-2902",
"fax_number": "412-531-2948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 OXFORD DR",
"address_2": "SUITE 220",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151021827",
"telephone_number": "412-831-1522",
"fax_number": "412-835-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBBY",
"first_name": "JOHN",
"credential": "D. O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS005128L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "080058903",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011301260002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethel Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.