Ronnie Godbolt, IDMT
NPI 1104054659 · Independent Duty Medical Technicians · Charleston Afb, SC
Ronnie Godbolt, IDMT is a Independent Duty Medical Technicians provider in Charleston Afb, SC (NPI 1104054659).
Provider details
- NPI number
- 1104054659
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-23
- Last updated
- 2009-06-23
Frequently asked questions
- What is Ronnie Godbolt's NPI number?
- Ronnie Godbolt's National Provider Identifier (NPI) is 1104054659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ronnie Godbolt's specialty?
- Ronnie Godbolt is listed in the NPPES registry with a primary specialty of Independent Duty Medical Technicians (Other Service Providers).
- Where is Ronnie Godbolt located?
- Ronnie Godbolt's practice location on file with NPPES is 204 W Hill Blvd, Charleston Afb, SC 29404-4704.
- What is Ronnie Godbolt's phone number?
- The practice phone number listed in the NPPES registry for Ronnie Godbolt is (843) 963-6936.
- Is Ronnie Godbolt's NPI active?
- Yes — Ronnie Godbolt's NPI (1104054659) is active in the NPPES registry as of the last update on 2009-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.