Boulevard Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

04-18169 Issued in KS

Legal business name

BOULEVARD INTERNAL MEDICINE

Practice address

5701 W 110TH St
Overland Park, KS 66211-2503

Phone

(913) 491-2400

NPI assigned

Jul 17, 2010

Organization subpart

No

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

Authorized official

Name

Neal J Sherman, M.D.NPI 1184712077

Title

Owner/Physician

Phone

(913) 248-8990

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neal J Sherman, M.D.

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1184712077
  NPD (past) Authorized official

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279324800000",
    "number": "1417260522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8371",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662080371",
            "telephone_number": "913-248-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662112503",
            "telephone_number": "913-491-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-17",
        "last_updated": "2010-07-17",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "913-248-8990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-18169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113210B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry D Botts, M.D.
• Sarah Boucher, RPT
• Victoria L Bouckhout, P.T.
• Lisa Jo Boudrieau, PT
• Boulevard Dermatology P a
• Boulevard Psychology, LLC
• Sarah Boulton
• Brian Wayne Bounds, MPT, ATC, CSCS
• Heather Lynn Bourdon, D.C.
• Nancy Jane Bovee, OT

• Internal Medicine Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.