Individual provider Active NPI

Thomas John Bobrowski, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • New Bern, NC
National Provider Identifier
1346229671
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
417 Issued in NC
Practice address
3109 Trent Rd
New Bern, NC 28562-5736
Phone
(252) 638-4700
Fax
(252) 638-5766
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 417 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 417 NC Primary

Addresses

Primary practice location

3109 Trent Rd
New Bern, NC 28562-5736

Mailing address

3109 Trent Rd
New Bern, NC 28562-5736
Phone (252) 638-4700

Other identifiers 2

IdentifierTypeStateIssuer
0800UOtherNCBCBS
790800UMedicaidNC

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927001114 NC Practitioner - Podiatry 1355319567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Instride Foot and Ankle Specialists, PLLC 46 clinicians

Practice addresses (Care Compare)

3109 Trent Rd
New Bern, NC 28562-5736
Phone (252) 638-4700

Hospital & facility affiliations

  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as individual
Quality
84.82
Promoting interoperability
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80
Removal of nail tissue287
Removal or shaving of skin growth160
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4891NCMDProfessional Counselor
417NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Instride Foot and Ankle Specialists, PLLC Podiatrist CurrentSince Jan 1, 2013 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Podiatrist CurrentSince Jan 1, 2013 Accepting new patients

Locations

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

3109 Trent Rd
Trent Woods, NC 28562
Phone (252) 634-2447

Interoperability endpoints

  • Direct secure messaging: thomas.bobrowski@ifasp.eclinicaldirectplus.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1346229671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625736",
            "telephone_number": "252-638-4700",
            "fax_number": "252-638-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625736",
            "telephone_number": "252-638-4700",
            "fax_number": "252-638-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROWSKI",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "417",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0800U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790800U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.