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DR. NICI EDDY BOTHWELL MD NPI 1033195417


NPI Information

NPI: 1033195417
Provider Name: DR. NICI EDDY BOTHWELL, MD
Classification: Otolaryngology - 207YS0012X
Entity Type: Individual

Specialization: Sleep Medicine

Organization: ENDORMIR SURGICAL, PLLC

PECOS Registration: Yes

Address:
14603 HUEBNER RD BLDG 1
SAN ANTONIO, TX
ZIP 78230
Phone: (210) 468-5426
Get Directions

DR. Nici Eddy Bothwell, MD is a sleep medicine otolaryngology in San Antonio, TX with 22 years of experience. The provider is an Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. DR. Nici Eddy Bothwell, MD NPI is 1033195417. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:2002

The provider's business location address is:

14603 HUEBNER RD BLDG 1
SAN ANTONIO, TX
ZIP 78230-470
Phone: (210) 468-5426

The NPI 1033195417 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 12/19/2005 and was last updated on 8/5/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyMD60209581WASHINGTONNo
2207YS0012XOtolaryngologySleep MedicineS6364TEXASYes
3207YS0012XOtolaryngologySleep MedicineMD60209581WASHINGTONNo

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: 11/14/2023

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