Robert W. Bohus, M.D., F.a.C.S.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

M6361 Issued in ID

Legal business name

ROBERT W. BOHUS, M.D., F.A.C.S.

Practice address

500 S 11TH Ave Ste 301
Pocatello, ID 83201-4879

Phone

(208) 233-3355

Fax

(208) 232-6118

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert W. Bohus, M.D., F.A.C.S.

Title

Physician Owner

Phone

(208) 233-3355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144344391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 301",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014879",
            "telephone_number": "208-233-3355",
            "fax_number": "208-232-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 301",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014879",
            "telephone_number": "208-233-3355",
            "fax_number": "208-232-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. BOHUS, M.D., F.A.C.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOHUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "208-233-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "ID",
            "license": "M6361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.