DR. BRUCE BOHMAN MD NPI 1437112919

NPI Information

NPI: 1437112919
Provider Name: DR. BRUCE BOHMAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
400 HICKORY ST NW STE 303
ALBANY, OR
ZIP 97321
Phone: (541) 812-5275
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DR. Bruce Bohman, MD is a family medicine in Albany, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Bruce Bohman, MD NPI is 1437112919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 HICKORY ST NW STE 303
ALBANY, OR
ZIP 97321-700
Phone: (541) 812-5275
Fax: (541) 812-5276

The enumeration date for this NPI number is 4/7/2006 and was last updated on 3/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		MD11218	OREGON	No
2	207Q00000X	Family Medicine		MD11218	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8351769	MEDICAID	WASHINGTON
2	C94267	OTHER		GROUP HEALTH
3	C94267	MEDICARE UPIN
4	0189507	OTHER		WASHINGTON LABOR & INDUST
5	059297000	OTHER	OREGON	BC/BS OF OREGON
6	JT4011	OTHER		PACC
7	010051611	OTHER		RAILROAD MEDICARE
8	C94267	OTHER		PROVIDENCE HEALTH PLANS
9	268748	MEDICAID	OREGON
10	R00WFBDQA	MEDICARE PIN
11	XPY185424	OTHER		MEDI CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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