Irmina Chao Boulier, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D44202 Issued in MD

Practice address

251 Finnegan Dr
Millersville, MD 21108-2575

Phone

(410) 544-1926

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2021.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1316059587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 FINNEGAN DR",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082575",
            "telephone_number": "410-544-1926",
            "fax_number": "410-315-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 FINNEGAN DR",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082575",
            "telephone_number": "410-544-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULIER",
        "first_name": "IRMINA",
        "middle_name": "CHAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D44202",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D44202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madalyn Bone
• Colleen Borczon, LCSW-C
• Travis Boss, CRNP
• Amy Joanne Bosworth, PSYD
• Erica Bouldin
• Alexis L. Bowen, LGPC, NCC
• Devon Michael Bowen, LMSW
• Zahava Nilly Brodt-Ciner, MD
• Holly Louise Brook-Cotton, PTA
• Chelsa Brown, LCSW

• All providers in Millersville, MD
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.