Jose Antonio Bardelas Jr., MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

21622 Issued in NC

Practice address

100 Westwood Avenue
High Point, NC 27262-4320

Phone

(336) 883-1393

Fax

(336) 883-7517

NPI assigned

May 3, 2006

Last updated

Aug 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: jbardelas10008@direct.conehealth.com

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.

• Allergy and Asthma Center of North Carolina, PA

  • Allergy Physician
  • High Point, NC
  • NPI 1235298589
  Authorized official Same address or phone

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1265490841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTWOOD AVENUE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624320",
            "telephone_number": "336-883-1393",
            "fax_number": "336-883-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTWOOD AVENUE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624320",
            "telephone_number": "336-883-1393",
            "fax_number": "336-883-7517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 E Northwood St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011310",
            "country_code": "US",
            "telephone_number": "336-373-0936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDELAS",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "21622",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "21622",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913057",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0200001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13057",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbardelas10008@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health DirectAddress",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "104 E Northwood St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sara Banit, PMHNP
• Emily A Banks
• Mark Gordon Banks, PA-C
• Ann Elizabeth Barber
• Elnore Barber, LMFT-A
• Valerie A Bare, RN
• Latonya Hall Barfield, LPTA
• Jennifer Lynne Barger, MD
• Akira Lanese Barhams, M.D.
• Thomas Edward Barker, LCHMC-A

• Allergy & Immunology Physician in High Point, NC
• Providers in High Point, NC by specialty
• Allergy & Immunology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.