Active NPI
Bobby Lester Adams, DPM
- Foot Surgery Podiatrist
- Meridian, MS
National Provider Identifier
1366518631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 80041
- Practice address
- 1300 25TH Ave
Meridian, MS 39301-3916 - Phone
- (601) 483-6134
- Fax
- (601) 483-7247
- NPI assigned
- Nov 28, 2006
- Last updated
- Oct 22, 2007
- 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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 80041 | MS | Primary |
Addresses
Primary practice location
1300 25TH Ave
Meridian, MS 39301-3916
Mailing address
1300 25TH Ave
Meridian, MS 39301-3916
Phone (601) 483-6134
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730-15593 | Other | MS | BLUE CROSS ALABAMA |
| P00229484 | Other | MS | MEDICARE RAILROAD |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80041 | MS | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1366518631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 25TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393013916",
"telephone_number": "601-483-6134",
"fax_number": "601-483-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 25TH AVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393013916",
"telephone_number": "601-483-6134",
"fax_number": "601-483-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "BOBBY",
"middle_name": "LESTER",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MS",
"license": "80041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ALABAMA",
"identifier": "730-15593",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00229484",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.