Individual provider · NPI-1

Dr. John Roy Bahling, M.D.

Pediatrics, Pediatric Emergency Medicine · Gainesville, FL

NPI number1205018546
StatusActive
Last updated in NPPESAug 19, 2024

Details

NPI
1205018546
Entity type
Individual (NPI-1)
Name
Dr. John Roy Bahling
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 28, 2007
Certification date
Aug 19, 2024
Last updated
Aug 19, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0204X Pediatrics, Pediatric Emergency MedicineME169570FLYes
207P00000X Emergency Medicine4301088989MI
208000000X Pediatrics35099973OH
208000000X PediatricsME169570FL
2080P0204X Pediatrics, Pediatric Emergency Medicine35099973OH

Practice location

1600 Sw Archer Rd
Gainesville, FL 32610-3003

Phone 352-265-5911

Mailing address

4600 Mueller Blvd. #1084
Austin, TX 78723

Phone 614-722-4384

Other practice locations

4900 Mueller
Emergency Department
Austin, TX 78723

Phone 512-324-0150

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