Edward N. Bodurian, M.D., P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EDWARD N. BODURIAN, M.D., P.A.

Practice address

5530 Wisconsin Ave
Suite 515
Chevy Chase, MD 20815-4404

Phone

(301) 656-4064

Fax

(301) 657-9561

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Angela D Jones

Title

Office Manager

Phone

(301) 656-4064

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1164544466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 515",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-656-4064",
            "fax_number": "301-657-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE",
            "address_2": "SUITE 515",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154404",
            "telephone_number": "301-656-4064",
            "fax_number": "301-657-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD N. BODURIAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-656-4064",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS BLUE SHIELD",
            "identifier": "A575",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD9109",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32331400",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445870",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elspeth M Dwyer, PMHNP-BC
• Sean Michael Dwyer, M.D.
• Natalie A Earl, M.D.
• Mary Eccles, PHD, MSW
• Cierra Edmonds, LCSW-C
• Lester Efianayi, OD
• John Steve Eftimiades, PT
• Edith Adjiri Egnankou, PHARM.D
• Alison Ehrlich, MD
• Jessica M Eichorn, PT

• Specialist in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.