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NPI Code Detail

MEDICARE: DR. TIMOTHY JAMES BISHOP JR. DO

MEDICARE: DR. TIMOTHY JAMES BISHOP JR. DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
22085R0202XDiagnostic Radiology Physician2025-04308NC

General Provider Information

NPI Number : 1184201337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY JAMES BISHOP JR. DO
Provider Business Mailing Address
First Line : PO BOX 654481
Second Line :
City : DALLAS
State : TX
Zip : 75265-4481
Country : US
Telephone Number : 609-439-4639
Fax Number : 302-440-5532
Provider Business Practice Location Address
First Line : 509 BILTMORE AVE
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-4601
Country : US
Telephone Number : 828-213-3524
Fax Number : 828-213-3525
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 06/09/2026

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