Provider Demographics
NPI:1972555852
Name:SIMPSON, BOBBY J (DO)
Entity Type:Individual
Prefix:
First Name:BOBBY
Middle Name:J
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5992 BERRYHILL RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-1013
Mailing Address - Country:US
Mailing Address - Phone:850-626-5375
Mailing Address - Fax:850-626-5378
Practice Address - Street 1:5992 BERRYHILL RD
Practice Address - Street 2:SUITE 206
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-1013
Practice Address - Country:US
Practice Address - Phone:850-626-5375
Practice Address - Fax:850-626-5378
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS12923207R00000X, 207RS0012X, 207RP1001X
MOR6J37207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14ZT2OtherBCBS OF FL
FL14ZT2OtherBCBS OF FL