Bluebonnet Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1834 Issued in TX

Legal business name

BLUEBONNET PODIATRY

Practice address

1628 Jerusalem Dr
Round Rock, TX 78664-8620

Phone

(512) 670-3900

Fax

(512) 670-3900

NPI assigned

Nov 20, 2007

Last updated

Nov 20, 2007By 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. Jennifer Anne Hamner, DPMNPI 1902004088

Title

Owner

Phone

(512) 670-3900

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jennifer Anne Hamner, D.P.M.

  • Podiatrist
  • Round Rock, TX
  • NPI 1902004088
  NPD (past) Authorized official

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1750562591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 JERUSALEM DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786648620",
            "telephone_number": "512-670-3900",
            "fax_number": "512-670-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 JERUSALEM DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786648620",
            "telephone_number": "512-670-3900",
            "fax_number": "512-670-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "HAMNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-670-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.