NPI 1316097991 · live from the CMS NPI Registry
Ferdinand K. Bacomo, DO
Anesthesiology in Fort Campbell, KY. National Provider Identifier 1316097991, active.
NPI record
| NPI | 1316097991 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 650 Joel Dr, Fort Campbell, KY 42223 |
| Practice phone | 270-798-8017 |
| Enumerated | January 12, 2007 |
| Last updated | April 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Critical Care Medicine | 207RC0200X | DOS1526 (HI) |
| Anesthesiology primary | 207L00000X | DOS1526 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.