Individual provider Active NPI

Bobbie Jean Thompson

  • Prosthetic/Orthotic Supplier
  • Charlottesville, VA
National Provider Identifier
1891869749
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CC19698947 Issued in VA
Practice address
169 Seminole CT
Charlottesville, VA 22901-2848
Phone
(434) 974-7500
Fax
(434) 984-6243
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CC19698947 VA Primary

Addresses

Primary practice location

169 Seminole CT
Charlottesville, VA 22901-2848

Mailing address

Bobbie Jean Thompson
34 Canterbury Rd
Charlottesville, VA 22903-4702
Phone (434) 971-3560

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC19698947VAMDProsthetic/Orthotic Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Image Reflections Intl. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891869749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOBBIE JEAN THOMPSON",
            "address_2": "34 CANTERBURY RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034702",
            "telephone_number": "434-971-3560",
            "fax_number": "434-984-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SEMINOLE CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012848",
            "telephone_number": "434-974-7500",
            "fax_number": "434-984-6243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BOBBIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "CC19698947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • 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.