Bobbybootcamps

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MT037974 Issued in TX

Legal business name

BOBBYBOOTCAMPS

Doing business as

BOBBYBOOTCAMPS

Practice address

2960 Donnell Dr
Round Rock, TX 78664-5709

Phone

(512) 771-8609

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Bobby C Craig, LMT

Title

Owner

Phone

(512) 771-8609

Specialties & licenses 1

Addresses

Other names 1

• BOBBYBOOTCAMPS Doing business as

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1659776045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 DONNELL DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645709",
            "telephone_number": "512-771-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 DONNELL DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645709",
            "telephone_number": "512-771-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBYBOOTCAMPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-771-8609",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "TX",
            "license": "MT037974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOBBYBOOTCAMPS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bluesprig
• Qwoy Blunt
• BM Transportation
• Claudia Natalia Boada Lopawczuk
• Kimberly Rachel Boatman
• Rajeswari K Bodapati, M.D.
• Satish K Boddhula, MD
• Austin F Boehm, DMD
• Angela Michelle Boerger, DC
• Jeffrey Grant Boerger, DC

• Community Health Worker in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.