NPIMap

Organization Active NPI

Jeffrey L Bober, DPM PA

  • Podiatrist
  • Glen Burnie, MD
National Provider Identifier
1396922217
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1060 Issued in MD
Legal business name
JEFFREY L BOBER, DPM PA
Practice address
7845 Oakwood Rd Ste 308
Glen Burnie, MD 21061-4266
Phone
(410) 761-9606
Fax
(443) 628-0239
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Jeffrey Lee Bober, DPM
Title
Owner
Phone
(410) 761-9606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1060 MD Primary

Addresses

Primary practice location

7845 Oakwood Rd Ste 308
Glen Burnie, MD 21061-4266

Mailing address

7845 Oakwood Rd Ste 308
Glen Burnie, MD 21061-4266
Phone (410) 761-9606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1396922217",
    "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": "443-628-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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": "443-628-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L BOBER, DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "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": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-761-9606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • 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.