MEDICARE: HUNTER BEDARD BISHOP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LC8441	ME
2	1041C0700X	Clinical Social Worker	LC22321	ME

General Provider Information

NPI Number	:	1316510605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNTER BEDARD BISHOP

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVE
Second Line	:	WOMACK ARMY MEDICAL CENTER
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

Provider Business Practice Location Address
First Line	:	2817 ROCK MERRITT AVENUE
Second Line	:	WOMACK ARMY MEDICAL CENTER
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-4504
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2021
Last Update Date	:	05/18/2026

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Directions to “ HUNTER BEDARD BISHOP ” Practice Location

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