Bernardino P Bobo Jr., LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

89140 Issued in NC

Practice address

1032 Fleming St
Hendersonville, NC 28791-3532

Phone

(828) 696-3099

NPI assigned

Jul 5, 2021

Last updated

Jul 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1659942258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 KATIE DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287923110",
            "telephone_number": "828-595-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 FLEMING ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913532",
            "telephone_number": "828-696-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Eagles Roost Ln",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287327571",
            "country_code": "US",
            "telephone_number": "828-551-6263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBO",
        "first_name": "BERNARDINO",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "89140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.