NPI Code Detail JSON Logo

1932355096 NPI number — BERNARD LEROY LANGSTON IV P.S.S

NPI Number: 1932355096
Health Care Provider/Practitioner: BERNARD LEROY LANGSTON IV P.S.S

Information about “1932355096” NPI (BERNARD LEROY LANGSTON IV P.S.S) exists in 1932355096 in HTML format HTML  |  1932355096 in plain Text format TXT  |  1932355096 in PDF (Portable Document Format) PDF  |  1932355096 in an XML format XML  formats.

NPI Number : 1932355096 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932355096",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LANGSTON",
    "FirstName": "BERNARD",
    "MiddleName": "LEROY",
    "NamePrefix": null,
    "NameSuffix": "IV",
    "Credential": "P.S.S",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6130 BUSH RIVER RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29212-0982",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-404-8125",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2105 COMMERCE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAYCE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29033-1524",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-796-6179",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/08/2008",
    "LastUpdateDate": "08/08/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.