NPIMap

Individual provider Active NPI

Michael Scott Bohlman, M.D.

  • Family Medicine Physician
  • Madera, CA
National Provider Identifier
1386756799
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94482 Issued in CA
Practice address
1100 E Almond Ave
Suite 101
Madera, CA 93637-5692
Phone
(559) 675-1231
NPI assigned
Aug 31, 2006
Last updated
Feb 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A94482 CA Primary

Addresses

Primary practice location

1100 E Almond Ave
Suite 101
Madera, CA 93637-5692

Mailing address

1100 E Almond Ave
Suite 101
Madera, CA 93637-5692
Phone (559) 675-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220201002969 SD Practitioner - Family Practice 6305841511 Reassigns benefits to 1 organization
I20221020002529 SD Practitioner - General Practice 6305841511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Loma Linda University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fall River Health ServicesGroup PAC ID 3678485075, shared by 4 NPIs, 11 clinicians

Practice addresses (Care Compare)

1201 Hwy 71 S
Hot Springs, SD 57747-8800
Phone (605) 745-3159

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94482CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fall River Health Services CurrentSince Oct 29, 2021 Accepting new patients
Fall River Health Services Current Accepting new patients
Fall River Health Services CurrentSince Oct 29, 2021 Accepting new patients
Fall River Health Services LLC Past Accepting new patients
San Joaquin Emergency Medical Associates Past Accepting new patients
State of South Dakota-Division of Past Accepting new patients

Locations

1201 Highway 71 S
Hot Springs, SD 57747
Phone (605) 745-3159

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fall River Health ServicesHot Springs, SD, CCN 435072 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 28, 2022
Feb 28, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1386756799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E ALMOND AVE",
            "address_2": "SUITE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375692",
            "telephone_number": "559-675-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E ALMOND AVE",
            "address_2": "SUITE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375692",
            "telephone_number": "559-675-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLMAN",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.