Provider Demographics
NPI:1568466233
Name:BOBBITT, R.CARTER (MD)
Entity Type:Individual
Prefix:DR
First Name:R.CARTER
Middle Name:
Last Name:BOBBITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7629 KENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2801
Mailing Address - Country:US
Mailing Address - Phone:513-984-5666
Mailing Address - Fax:513-984-2044
Practice Address - Street 1:7629 KENWOOD RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2801
Practice Address - Country:US
Practice Address - Phone:513-984-5666
Practice Address - Fax:513-984-2044
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35028343207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHD31329Medicare UPIN