Richard J Boehme, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME62533 Issued in FL

Practice address

1361 13TH Ave S
Ste-170a
Jacksonville Beach, FL 32250-3233

Phone

(904) 249-4456

Fax

(904) 249-7703

NPI assigned

Sep 29, 2005

Last updated

Dec 29, 2011By 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 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

University of Alabama School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurology Associates of North Florida , Inc

  • Neurology Physician
  • Jacksonville Beach, FL
  • NPI 1104863042
  Medicare reassignment NPD Authorized official
• Mpower Clinical TX

  • Clinical Neurophysiology Physician
  • San Antonio, TX
  • NPI 1134737216

  FL, Neurology

  Medicare reassignment NPD
• Neurology Associates of North Florida Diagnostics,Inc.

  • Legal Medicine
  • Jacksonville Beach, FL
  • NPI 1558509596
  Authorized official Same address or phone
• North Florida Medical Clinic Inc

  • Internal Medicine Physician
  • Jacksonville Beach, FL
  • NPI 1639126907
  NPD (past)
• Interpreting Services Group LLC

  • Neurology Physician
  • Tulsa, OK
  • NPI 1558595165
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1245227800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457809",
            "telephone_number": "904-249-4456",
            "fax_number": "904-249-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "STE-170A",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503233",
            "telephone_number": "904-249-4456",
            "fax_number": "904-249-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHME",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME62533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372291100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "212248",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BCBS",
            "identifier": "18695",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00647889",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00240372",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Star Therapeutics Inc
• Catherine Ann Bobenrieth, M.D
• Reese Nola Bobo
• Betty Boddie, PT, DPT
• Kathleen Gersek Bodkin, RD, LD/N,CDE
• Kamal I Bohsali, M.D.
• Leslie Margaret Bohsali, ARNP
• John G. Bordelon, MD
• Brian Joseph Borden, P.T.
• Rosemary Maxwell Bossow, RD, LDN

• Neurology Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.