Active NPI
Michael Scott Bohlman MD Inc
- Family Medicine Physician
- Madera, CA
National Provider Identifier
1417220138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A94482
- Legal business name
- MICHAEL SCOTT BOHLMAN MD INC
- Practice address
- 1100 E Almond Ave
Suite 101
Madera, CA 93637-5692 - Phone
- (559) 675-1231
- NPI assigned
- Feb 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Bohlman, MD
- Title
- President
- Phone
- (559) 417-7743
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A94482 | CA | Primary |
| Pediatrics Physician | 208000000X | A94481 | CA |
Addresses
Primary practice location
1100 E Almond Ave
Suite 101
Madera, CA 93637-5692
Mailing address
22249 Stabulis CT
Madera, CA 93638-7813
Phone (559) 662-0950
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328832000000",
"number": "1417220138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22249 STABULIS CT",
"city": "MADERA",
"state": "CA",
"postal_code": "936387813",
"telephone_number": "559-662-0950"
},
{
"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": {
"organization_name": "MICHAEL SCOTT BOHLMAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-10",
"last_updated": "2012-02-10",
"status": "A",
"authorized_official_last_name": "BOHLMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-417-7743",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A94482",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A94481",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.