Thomas Joseph Bardin III, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2306 Huron St
Columbia, SC 29205-3828

Phone

(803) 606-5662

NPI assigned

Sep 20, 2015

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

Other identifiers 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.

• Bardin Behavioral Health, LLC

  • Behavior Analyst
  • Columbia, SC
  • NPI 1487160602
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1922477934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 HURON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053828",
            "telephone_number": "803-606-5662",
            "fax_number": "803-339-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 HURON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053828",
            "telephone_number": "803-606-5662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2306 Huron St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292053828",
            "country_code": "US",
            "telephone_number": "803-606-5662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDIN",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-20",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA NUMBER",
            "identifier": "1-17-28411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny J Barbone
• Miriam Barbosa
• Krystal Barclay, DC
• Holly Rachelle Tyrpak Bard, DNP, APRN, PMHNP-BC
• Bardin Behavioral Health, LLC
• Eureka Barefield
• James Barefield
• Gregory E Barefoot, P.A.C.
• Amy Caroline Barfield, CRNA
• Jalyn Barfield

• All providers in Columbia, SC
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.