Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kirby Bandoquillo, NP

Individual provider Primary Care Nurse Practitioner · NPI 1598150195

Kirby Bandoquillo, NP is a Nurse Practitioner in Charlotte, North Carolina. Graduated from Georgetown University School of Medicine in 2014, 12 years ago. Practices with Atrium Health Specialty Network Inc, a 246-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
12
Trained at
Georgetown University School of Medicine
Licensed in
NC
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

135 W 10th St
Charlotte, NC 28202-2229
Phone: (704) 626-3994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 5018543 (NC)

Record details

NPI number1598150195
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 31, 2015
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Atrium Health Specialty Network Inc — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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