Jeffrey L Bober DPM PA

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

JEFFREY L BOBER DPM PA

Practice address

7845 Oakwood Road Suite 308
Glen Burnie, MD 21061-3526

Phone

(141) 076-1960

Fax

(443) 628-0293

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey L Bober, DPMNPI 1588676910

Title

Owner

Phone

(410) 761-9606

Specialties & licenses 1

Addresses

Other names 1

• JEFFREY L BOBER DPM PA ASC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Lee Bober, DPM

  • Foot Surgery Podiatrist
  • Glen Burnie, MD
  • NPI 1588676910
  NPD Authorized official

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1194999359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD RD STE 308",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614266",
            "telephone_number": "410-761-9606",
            "fax_number": "443-628-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD ROAD SUITE 308",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613526",
            "telephone_number": "141-076-1960",
            "fax_number": "443-628-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L BOBER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2024-06-05",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "BOBER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-761-9606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFREY L BOBER DPM PA ASC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jassi Primary Care PA
• Sukhpal I Jassi, M.D
• Madhu Sreekanth Jasti, M.D
• Elnaz Javadkhani, DDS
• Thirumalairaj Jeevan, M.D.
• Jeffrey L Bober, DPM PA
• Rudolph Jeffries Jr., MD
• Megan Lauren Jendrossek, CRNP
• Brittany Jo Jenkins, PA-C
• Jennifer Stewart DDS LLC (Glen Burnie Family Dental)

• Ambulatory Surgical Clinic/Center in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.