Patrice Y Bidgood

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

2925 E Independence Blvd # 53
Charlotte, NC 28205-7034

Phone

(704) 236-3156

NPI assigned

Sep 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Vintage Hair Salon

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
  • NPI 1275367195
  NPD Authorized official

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1508690413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ST LUKE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282164837",
            "telephone_number": "704-236-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 E INDEPENDENCE BLVD # 53",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057034",
            "telephone_number": "704-236-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDGOOD",
        "first_name": "PATRICE",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Holt Bice, CNM
• Bichduong Kayla Nguyen, DDS, PLLC (Carolinas Family Dental Care)
• Allison Knotts Bickett, PHD, MS, HSP
• Biddleville-Dalebrook Pharmacies
• Anna Sue Bidegain, RN
• Matthew Robert Bidwell, MD, MPH
• Britney Biegel
• Jule Biel
• Gregory Bielec, M.D.
• Ashley Bienaimee

• Prosthetics Case Management in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Prosthetics Case Management in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.