Provider Demographics
NPI:1629086368
Name:BOBBE, DOROTHY JEANNE (MD)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:JEANNE
Last Name:BOBBE
Suffix:
Gender:F
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:PO BOX 602373
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2373
Mailing Address - Country:US
Mailing Address - Phone:828-213-1500
Mailing Address - Fax:828-651-6576
Practice Address - Street 1:189 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:SPRUCE PINE
Practice Address - State:NC
Practice Address - Zip Code:28777-3035
Practice Address - Country:US
Practice Address - Phone:828-766-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35842207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07673OtherBLUE CROSS PHYSICIAN
NC235013OtherMEDICARE PHYSICIAN
NC014MXOtherBLUE CROSS LABS
NC235013BOtherMEDICARE PHYSICIAN
NC34U011OtherMEDICARE SWINGBED
NC8907673OtherMEDICAID
NC8916398Medicaid
NC00513OtherBLUE CROSS
NC16398OtherBCBS INDIVIDUAL PROVIDER
NC3400011OtherMEDICAID
NC411013849OtherRAILROAD MEDICARE
NC8907673OtherMEDICAID
NC2174031AMedicare ID - Type Unspecified
NC16398OtherBCBS INDIVIDUAL PROVIDER