Ronnie Godbolt, IDMT

ActiveIndividual ProviderSpecialty not listed
NPI issued: June 23, 2009

Quick Facts

NPI Number
1104054659
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy1710I1003X — Specialty not listed
Phone
(843) 963-6936
StateSC

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104054659)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 23, 2009)
Data source: CMS NPPES

Provider Overview

RONNIE GODBOLT, IDMT is a Healthcare provider based in Charleston Afb, SC who has been registered with CMS since 2009. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104054659
Provider TypeIndividual Provider
GenderMale
CredentialIDMT
StatusActive
Enumeration DateJune 23, 2009

Practice Location

CityCharleston Afb
StateSC
ZIP Code29404-4704
Phone(843) 963-6936

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code1710I1003X
License StateSC

Mailing Address

CityCharleston Afb
StateSC
ZIP Code29404-4704
Phone(843) 963-6936
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1104054659 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1104054659for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104054659 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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1,528
Specialty not listed Providers in the US

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People Also Ask

What is Ronnie Godbolt's NPI number?
Ronnie Godbolt's NPI number is 1104054659, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Ronnie Godbolt's NPI currently active?
Yes, Ronnie Godbolt's NPI status is Active as of the latest CMS NPPES database updates.
What does Ronnie Godbolt specialize in?
Ronnie Godbolt specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 1710I1003X.
Where does Ronnie Godbolt practice?
Ronnie Godbolt practices in Charleston Afb, SC 29404-4704.
When was Ronnie Godbolt's NPI issued?
Ronnie Godbolt's NPI was issued on June 23, 2009.
What is Ronnie Godbolt's provider type?
Ronnie Godbolt is registered as an Individual Provider under CMS NPI Type 1.