Active NPI
Richard Hunt Bobo, MD
- Neurological Surgery Physician
- Tupelo, MS
National Provider Identifier
1811969330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 10242
- Practice address
- 4381 S Eason Blvd Ste 302
Tupelo, MS 38801-6584 - Phone
- (662) 377-5700
- Fax
- (662) 377-5720
- NPI assigned
- Feb 7, 2006
- Last updated
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 10242 | MS | Primary |
Addresses
Primary practice location
4381 S Eason Blvd Ste 302
Tupelo, MS 38801-6584
Mailing address
4381 S Eason Blvd Ste 302
Tupelo, MS 38801-6584
Phone (662) 377-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115388 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1811969330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4381 S EASON BLVD STE 302",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016584",
"telephone_number": "662-377-5700",
"fax_number": "662-377-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4381 S EASON BLVD STE 302",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016584",
"telephone_number": "662-377-5700",
"fax_number": "662-377-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOBO",
"first_name": "RICHARD",
"middle_name": "HUNT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MS",
"license": "10242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115388",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
- BMR Chiropractic, PC (Chiropractic Neurology Center of Tupelo)
- Boa Vida Hospital of Aberdeen, Ms LLC (MRH Medical Group, Verona Family Medicine & Urgent Care)
- Boa Vida Hospital of Aberdeen, Ms LLC (MRH Medical Group, East Main Family Medical)
- Andrea Kay Boatman, LSW
- Denise E Boatner, M.S., CCC-A
- Henry B Boler, MD
- Michael Ted Boler Jr., D.O.
- Peggy L Boles, M.D.
- Dennis Davis Bond Sr., D.M.D.
- Bethany Bonner, M.ED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.