Jordan Bumgardner, is a
Registered Nurse based in Boiling Springs, North Carolina. Jordan Bumgardner is licensed to practice in North Carolina (license number 345114) and his current practice location is
110 S Main St, Boiling Springs, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 406-4000.
NPI number for Jordan Bumgardner is 1407704174 and his current mailing address is 240 Tryon School Loop Rd, Bessemer City, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407704174.
Provider's Profile
| Full Name | Jordan Bumgardner |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 110 S Main St, Boiling Springs, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407704174
- Provider Enumeration Date: 03/18/2026
- Last Update Date: 03/18/2026
Medical Identifiers
Medical identifiers for Jordan Bumgardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407704174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 345114 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Bumgardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jordan Bumgardner, 240 Tryon School Loop Rd, Bessemer City, NC 28016-7612 Ph: () - | Jordan Bumgardner, 110 S Main St, Boiling Springs, NC 28017-9797 Ph: (704) 406-4000 |
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