Active NPI
Robert H Mitchell Jr., M.D.
- Specialist
- Kokomo, IN
National Provider Identifier
1467425736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01035052
- Practice address
- 2347 W Lincoln Rd
Kokomo, IN 46902-8012 - Phone
- (765) 455-4086
- Fax
- (765) 455-4078
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 01035052 | IN | Primary |
Addresses
Primary practice location
2347 W Lincoln Rd
Kokomo, IN 46902-8012
Mailing address
2347 W Lincoln Rd
Kokomo, IN 46902-8012
Phone (765) 455-4086
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01035052 | Other | IN | STATE LICENSE NUMBER |
| 10784502 | Other | IN | CAQH PROVIDER NUMBER |
| 000000086375 | Other | IN | BLUE SHIELD NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradford G Bichey, M.D. LLC | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Marion, IN
- NPI 1366546467
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": "1183852800000",
"number": "1467425736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2347 W LINCOLN RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469028012",
"telephone_number": "765-455-4086",
"fax_number": "765-455-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2347 W LINCOLN RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469028012",
"telephone_number": "765-455-4086",
"fax_number": "765-455-4078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "ROBERT",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01035052",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "01035052",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER NUMBER",
"identifier": "10784502",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NUMBER",
"identifier": "000000086375",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.