Dorothy Bomgardner

Primary specialty

CounselorTaxonomy code 101Y00000X

License

PC000072 Issued in PA

Practice address

500 E Chestnut Ave
Altoona, PA 16601-5215

Phone

(814) 943-0414

NPI assigned

Apr 9, 2015

Sex

Female

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Behavioral Healthcare Management Services, Inc.

  • Clinic/Center
  • Huntingdon, PA
  • NPI 1598874414
  Medicare reassignment NPD
• Integrated Behavioral Healthcare Management Services, Inc.

  • Psychiatry Physician
  • Huntingdon, PA
  • NPI 1457488298
  NPD (past)

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1821484585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8262 SAND ROCK RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166523685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CHESTNUT AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166015215",
            "telephone_number": "814-943-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMGARDNER",
        "first_name": "DOROTHY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC000072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Angels Care LLC
• Ashley Bock
• Body First Chiropractic LLC
• Maria Bolger
• James E Bolland, MD
• Nicoletta Marie Bonacci
• Sheena Renee Bookhammer, REGISTERED NURSE
• Carol Books, LPN
• Paige Boone
• Taylor Marie Boonie, LBS

• Counselor in Altoona, PA
• Providers in Altoona, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.