Catherine J Bomberger, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

048188 Issued in GA

Practice address

310 Hospital Dr
Building B Suite 315
Macon, GA 31217-3895

Phone

(478) 464-5000

Fax

(478) 464-5094

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1124135678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL DR",
            "address_2": "BUILDING B SUITE 315",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173895",
            "telephone_number": "478-464-5000",
            "fax_number": "478-464-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HOSPITAL DR",
            "address_2": "BUILDING B SUITE 315",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173895",
            "telephone_number": "478-464-5000",
            "fax_number": "478-464-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBERGER",
        "first_name": "CATHERINE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00875476A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boland Prosthetic & Orthotic Center LLC
• Christian Joseph Bolea, M.D.
• Charles Boling, PA
• Linda Baughman Bolt, OTR/L, CHT
• Margaret C. Boltja, M.D.
• Sammy Bonfim, PT
• Lashondra Bonner
• Mark W Bonner, MD
• Vandeler N Booker, NP-C
• Anna Elizabeth Boone

• Internal Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.