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IndividualActiveMedicare EnrolledCan Order/Refer

Mr. Charles Jay Bawcom

APRN-RNP

Nurse Practitioner - Family

NPI: 1801419841Grand Canyon, Arizona, 86023(928) 638-2551Male

About Mr. Charles Jay Bawcom

Mr. Charles Jay Bawcom, APRN-RNP, is a male healthcare professional specializing in Nurse Practitioner - Family with a focus on Family, registered under National Provider Identifier (NPI) number 1801419841.

Mr. Charles Jay Bawcom received his medical education at OTHER, graduating in 2020. Their primary practice is located at 1 CLINIC RD # 369, Grand Canyon, Arizona 86023. Patients can reach the office at (928) 638-2551.

Mr. Charles Jay Bawcom is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Mr. Charles Jay Bawcom has been NPI-registered since 2020.

Key Metrics

Rx Claims

253

$47,178.38

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1801419841
Entity Type
Individual
First Name
Charles
Last Name
Bawcom
Credential
APRN-RNP
Gender
Male
Medical School
OTHER
Graduation Year
2020
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1 CLINIC RD # 369
City
Grand Canyon
State
Arizona
ZIP
86023-0290
Country
United States
Phone
(928) 638-2551
Fax
(928) 638-2598

Specialty & Taxonomy

Primary Specialty
Nurse Practitioner - Family
Classification
Nurse Practitioner
Specialization
Family
Taxonomy Code
363LF0000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
1 CLINIC RD # 369
City
GRAND CANYON
State
AZ
ZIP
860230290

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Mr. Charles Jay Bawcom's NPI number?
Mr. Charles Jay Bawcom's National Provider Identifier (NPI) is 1801419841. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Mr. Charles Jay Bawcom specialize in?
Mr. Charles Jay Bawcom specializes in Nurse Practitioner - Family. They received their medical education at OTHER (class of 2020).
Where is Mr. Charles Jay Bawcom located?
Mr. Charles Jay Bawcom practices at 1 CLINIC RD # 369, Grand Canyon, Arizona 86023. You can reach them by phone at (928) 638-2551.
Does Mr. Charles Jay Bawcom accept Medicare?
Yes, Mr. Charles Jay Bawcom is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Mr. Charles Jay Bawcom offer telehealth or virtual visits?
Mr. Charles Jay Bawcom does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Mr. Charles Jay Bawcom is 1801419841.