NPI 1366506388 · live from the CMS NPI Registry
Jonathan P Bacon, M.D.
Orthopaedic Surgery in Beaufort, SC. National Provider Identifier 1366506388, active.
NPI record
| NPI | 1366506388 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 78 Dolphin Point Dr, Beaufort, SC 29907 |
| Practice phone | 253-722-4909 |
| Enumerated | December 21, 2006 |
| Last updated | March 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | MD00021515 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.