KRYSTAL BOTTOM M.D. NPI 1306826870

NPI Information

NPI: 1306826870
Provider Name: KRYSTAL BOTTOM, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803
Phone: (828) 213-1740
Get Directions

Krystal Bottom, M.D. is a pediatric hematology-oncology pediatrics in Asheville, NC with 35 years of experience. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Krystal Bottom, M.D. NPI is 1306826870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1989

The provider's business location address is:

11 VANDERBILT PARK DR
ASHEVILLE, NC
ZIP 28803-700
Phone: (828) 213-1740
Fax: (828) 213-1742

The NPI 1306826870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	9600869	NORTH CAROLINA	Yes
2	208000000X	Pediatrics		9600869	NORTH CAROLINA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	G34140	MEDICARE UPIN
2	2229571A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
3	8917041	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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