Bobby Tilman, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

5666 Issued in OH

Practice address

629 N Sandusky Ave
Bucyrus, OH 44820-1821

Phone

(419) 563-9389

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By 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)

Enrolled

State licenses

Practice roles

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

• Bucyrus Community Hospital LLC

  dba Bucyrus Community Hospital

  • Critical Access Hospital
  • Bucyrus, OH
  • NPI 1104914274
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851415525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 MEADOW RIDGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645042291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 N SANDUSKY AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448201821",
            "telephone_number": "419-563-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILMAN",
        "first_name": "BOBBY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "5666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Third Street Community Clinic, Inc (Community Counseling & Wellness Centers- Bucyrus)
• Third Street Community Clinic, Inc (Community Counseling & Wellness Centers-Bucyrus)
• Third Street Community Clinic, Inc (Community Counseling & Wellness Centers-Bucyrus)
• Third Street Community Clinic, Inc. (Bucyrus Health and Wellness)
• Kathrine Louella Thompson
• Larry M Tincher, MD
• Savannah Tobias
• Transez
• Jaime Tudor, LSW
• Antonia Betty Veloff

• Registered Dietitian in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.