Justin Michael Boehm

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

4954 N Palmer Rd
Bethesda, MD 20889-1230

Phone

(300) 400-1384

NPI assigned

Mar 14, 2017

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1164963880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD RM 1500",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4954 N PALMER RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208891230",
            "telephone_number": "300-400-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "JUSTIN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph V Boccia, M.D.
• Guillemette Bodenreider
• Caroline Cruz Bodner, ACNP
• David Henry Boedeker
• Jamie Boehm
• Martin Lewis Boese, CRNA
• Bradley John Boetig, MD
• Nathan Allen Boggs, M.D.
• Caryn E Bohac, LCPC
• Sabre Bohannan

• Prosthetist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Prosthetist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.