Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRITHVI BOMDICA, MD
DeactivatedPRITHVI BOMDICA, MD is a Sports Medicine (Emergency) healthcare provider located in BRENTWOOD, Missouri. NPI 1699149500 is deactivated in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · BRENTWOOD, MO
This NPI has been deactivated.
The record was deactivated on May 15, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1699149500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2015 (4.4918032786885 yrs)
- Last Updated
- Sep 3, 2024
- Deactivated
- May 15, 2020
- Licenses
-
2024016762 (MO)036168884 (IL)
Practice Information
- Address
-
1600 S BRENTWOOD BLVD STE 700BRENTWOOD, MO, 631441304Browse MO providers · Browse ZIP 63144
- Phone
- 3143671181
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in BRENTWOOD, MO
| Name | Credential | NPI |
|---|---|---|
| DR. KEVIN J BLINDER | MD | 1669476560 |
| DR. NICHOLAS ENGELBRECHT | MD | 1891791844 |
| RICHARD JOSEPH ROTHMAN | MD | 1508867318 |
| THOMAS K KRUMMENACHER | MD | 1205837978 |
| DR. BRADLEY THOMAS SMITH | MD | 1588608970 |
| DR. ATHANASIOS PAPAKOSTAS | MD | 1588975346 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.