NICHOLAS A. BATHURST – NPI #1649842766
Specialist/Technologist, Other

NICHOLAS BATHURST is a technologist located in NORMAL, IL. NPPES has assigned the NPI number 1649842766 to NICHOLAS BATHURST on July 16, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS BATHURST below.

NPI Profile for
NICHOLAS A. BATHURST

NPI Number
1649842766
Enumeration Date

(about 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS A. BATHURST
Primary location
CARLE BROMENN MEDICAL CENTER
1304 FRANKLIN AVE.
NORMAL, IL 61761
Phone: (309) 454-1400 Fax:
Mailing address
1604 VISA DR STE 1
NORMAL, IL 61761-2195
Phone: (309) 846-4716 Fax: (309) 454-7348
Sole Proprietor
No
Updated
Certification Date
Jun 22, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.