David P. Boersma, M.D., L.L.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D0040048 Issued in MD

Legal business name

DAVID P. BOERSMA, M.D., L.L.C.

Practice address

7505 Osler Dr Ste 510
Towson, MD 21204-7740

Phone

(410) 823-5532

Fax

(410) 823-5703

NPI assigned

Jul 10, 2010

Last updated

Apr 21, 2015By 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

David P Boersma, M.D.NPI 1235117219

Title

Owner/PCP

Phone

(410) 823-5532

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• David P Boersma, M.D.

  • Internal Medicine Physician
  • Towson, MD
  • NPI 1235117219
  Authorized official Same address or phone

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1154633881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 510",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047740",
            "telephone_number": "410-823-5532",
            "fax_number": "410-823-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 510",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047740",
            "telephone_number": "410-823-5532",
            "fax_number": "410-823-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P. BOERSMA, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "BOERSMA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/PCP",
        "authorized_official_telephone_number": "410-823-5532",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0040048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "196784",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Marie Dausch, MSCCC-SLP
• Pankaj B. Dave, P.A.
• Vihang Dave
• Trina N Davenport
• David L Bloom PA (Accesible MRI of Baltimore County)
• David P. Boersma, M.D., L.L.C.
• David William Deveas DDS (DeVeas Family Dentistry)
• Rene Patrice David, LCSW-C
• David's Hope Therapeutic Services, LLC
• Bryce Canyon Davidson, PHARMD

• General Practice Physician in Towson, MD
• Providers in Towson, MD by specialty
• General Practice Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.