RICHARD W BOERSMA MD NPI 1558320051

NPI Information

NPI: 1558320051
Provider Name: RICHARD W BOERSMA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
10801 N MICHIGAN RD STE 110
ZIONSVILLE, IN
ZIP 46077
Phone: (317) 344-1269
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Richard W Boersma, MD is a family medicine in Zionsville, IN. 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. Richard W Boersma, MD NPI is 1558320051. 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:

10801 N MICHIGAN RD STE 110
ZIONSVILLE, IN
ZIP 46077-171
Phone: (317) 344-1269

The enumeration date for this NPI number is 3/22/2006 and was last updated on 9/15/2016.

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	207Q00000X	Family Medicine		01028548	INDIANA	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	M400014753	MEDICARE PIN	INDIANA
2	000000355597	OTHER	ILLINOIS	ANTHEM
3	C48835	MEDICARE UPIN	INDIANA
4	IN01028548	OTHER	INDIANA	IN LIC #
5	100216200	MEDICAID	INDIANA

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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