Active NPI
William Franklin Bodenheimer III, M.D.
- Family Medicine Physician
- Boonsboro, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0056826
- Practice address
- 9 Saint Paul St
Boonsboro, MD 21713-1334 - Phone
- (301) 432-0623
- Fax
- (301) 432-0624
- NPI assigned
- Apr 5, 2006
- Last updated
- Sep 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0056826 | MD | Primary |
Addresses
Primary practice location
9 Saint Paul St
Boonsboro, MD 21713-1334
Mailing address
9 Saint Paul Street
Boonsboro, MD 21713
Phone (301) 432-0623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
9 Saint Paul St
Boonsboro, MD 21713-1334
Phone (301) 432-0623
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.82 of 100
- Quality
- 79.78
- Promoting interoperability
- 93.11
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0056826 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Mountain Family Practice LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Meritus Medical Laboratory LLC | Past | Accepting new patients |
Locations
9 Saint Paul St
Boonsboro, MD 21713
Phone (301) 432-0623
9 Saint Paul St
Ste 4
Boonsboro, MD 21713
Interoperability endpoints
- dr.william.f.bodenheimer@southmountainfamilypractice.mountainside.direct-ci.com
Organizations & group practices 3
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.
-
- Clinic/Center
- Boonsboro, MD
- NPI 1487844593
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Clinical Medical Laboratory
- Hagerstown, MD
- NPI 1679518971
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Hagerstown, MD
- NPI 1710064878
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1427010354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SAINT PAUL STREET",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "21713",
"telephone_number": "301-432-0623",
"fax_number": "301-432-0765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SAINT PAUL ST",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217131334",
"telephone_number": "301-432-0623",
"fax_number": "301-432-0624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODENHEIMER",
"first_name": "WILLIAM",
"middle_name": "FRANKLIN",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0056826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boonsboro, MD
- Gordon D Bekedam, DDS
- Lisha Lynn Bikle, CPHT
- Blanford Chiropractic Services, Inc (Boonsboro Upper Cervical Chiropractic)
- James Anrew Blanford, DC
- Heidi Bodenheimer, NBHWC HEALTH COACH
- Bodysense PT, LLC
- George Bolger, RPH
- Sharon Bolger, RPH
- Boonsboro Ambulance and Rescue Service Incorporated
- Boonsboro Dental Care, LLC (South Mountain Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.