Philip B Bovell, Mdpa

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

D0020121 Issued in MD

Legal business name

PHILIP B BOVELL, MDPA

Practice address

11701 Livingston Rd
Ste 204
Fort Washington, MD 20744-5104

Phone

(301) 292-0757

NPI assigned

Aug 22, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Philip Benjamin Bovell, MDNPI 1699944264

Title

Owner

Phone

(301) 292-0757

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Benjamin Bovell, MD

  • Orthopaedic Surgery Physician
  • Fort Washington, MD
  • NPI 1699944264

  DC

  Medicare reassignment NPD Authorized official
• Cary Patrick Sullivan, D.O.

  • Family Medicine Physician
  • Vian, OK
  • NPI 1497701130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1104818582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD",
            "address_2": "STE 204",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445104",
            "telephone_number": "301-292-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD",
            "address_2": "STE 204",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445104",
            "telephone_number": "301-292-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP B BOVELL, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "BOVELL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-292-0757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0020121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02663880",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Korynn Cheyanne Patterson, LMSW
• Erica Paultre-Michael, DDS
• Angela Denise Perry
• Matthew J Perry, DC
• Person Focused Community Services Inc.,
• Jeffery H Phillips, MD PHD FACS
• Syed Haris Ahmed Pir, M.D
• Antwan Pixley, HHA
• Torrance M Poindexter, MBA
• Positive Energy Impact Transportation'LLC

• Orthopaedic Surgery Physician in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.