Bovard Bariatric Center PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2008-00006 Issued in NC

Legal business name

BOVARD BARIATRIC CENTER PA

Practice address

11200 Governor Manly Way
Suite 200
Raleigh, NC 27614-8599

Phone

(919) 340-2263

Fax

(919) 554-3771

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Scott Bovard, MD

Title

Owner

Phone

(919) 340-2263

Specialties & licenses 1

Addresses

Other names 1

• Triangle Weight Loss Surgery Doing business as

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1265619787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148599",
            "telephone_number": "919-340-2263",
            "fax_number": "919-554-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 GOVERNOR MANLY WAY",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148599",
            "telephone_number": "919-340-2263",
            "fax_number": "919-554-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOVARD BARIATRIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "BOVARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-340-2263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "2008-00006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triangle Weight Loss Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashleigh Bourgoin-Hibbard
• Peter Daniel Bourland, PHYSICIAN ASSISTANT
• Holly Bourne
• Susan E Bousquet, OTR/L
• Alycia Boutrand
• Kimberly Nelson Bovee, MA, LPC
• Audra Helena Bovender, PA-C
• Andrea P Bowen, LCSW
• Randall Bryant Bowen, MD
• Sarah Bowen, MSW, LCSW

• Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.