Organization Active NPI

Tracy Bigelow, DO, Inc

  • Orthopaedic Hand Surgery Physician
  • Modesto, CA
National Provider Identifier
1760789762
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
20A11567 Issued in CA
Legal business name
TRACY BIGELOW, DO, INC
Practice address
1335 Coffee Rd
Ste 100
Modesto, CA 95355-3188
Phone
(209) 524-4649
Fax
(209) 524-7395
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Tracy L Bigelow, DO
Title
Owner
Phone
(209) 524-4649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X 20A11567 CA Primary

Addresses

Primary practice location

1335 Coffee Rd
Ste 100
Modesto, CA 95355-3188

Mailing address

1335 Coffee Rd
Ste 100
Modesto, CA 95355-3188
Phone (209) 524-4649

Other identifiers 1

IdentifierTypeStateIssuer
20A 11567OtherCACALIFORNIA OSTEOPATHIC MEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1760789762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 COFFEE RD",
            "address_2": "STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553188",
            "telephone_number": "209-524-4649",
            "fax_number": "209-524-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 COFFEE RD",
            "address_2": "STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553188",
            "telephone_number": "209-524-4649",
            "fax_number": "209-524-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY BIGELOW, DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-524-4649",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "20A11567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA OSTEOPATHIC MEDICAL LICENSE",
            "identifier": "20A 11567",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.