Bobby C. Kang, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BOBBY C. KANG, P.C.

Doing business as

Enid Regional Family Practice

Practice address

2426 W Owen K Garriott Rd
Enid, OK 73703-5221

Phone

(580) 233-7600

Fax

(580) 233-7661

NPI assigned

Apr 25, 2007

Last updated

Oct 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Chu Kang, D.O.NPI 1538364005

Title

President

Phone

(580) 233-7600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Enid Regional Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bobby C Kang, D.O.

  • Family Medicine Physician
  • Enid, OK
  • NPI 1538364005
  Medicare reassignment NPD Authorized official
• David Robert Kang, M.D.

  • Family Medicine Physician
  • Des Plaines, IL
  • NPI 1205276136

  OK

  Medicare reassignment NPD
• Eunki Jang

  • Acupuncturist
  • Enid, OK
  • NPI 1467855700
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1437378478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035221",
            "telephone_number": "580-233-7600",
            "fax_number": "580-233-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 W OWEN K GARRIOTT RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035221",
            "telephone_number": "580-233-7600",
            "fax_number": "580-233-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY C. KANG, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "CHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-233-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100215980C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enid Regional Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virgie Blankenship
• Blaire Blankinship, APRN-CNP
• Kelsie Blanton, APRN
• Astaisheia Danielle Bloodworth
• William C Blubaugh, D.D.S.
• Laura Chavez Bocox, LPN
• Kayla Marie Bond, PT, DPT
• Lena Borror
• Jasmine C Boswell, BSC
• Kristina Bourey

• Family Medicine Physician in Enid, OK
• Providers in Enid, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.