Individual provider Active NPI

William Franklin Bodenheimer III, M.D.

  • Family Medicine Physician
  • Boonsboro, MD
National Provider Identifier
1427010354
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0056826 Issued in MD
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041216000198 MD Practitioner - Family Practice 7113984691 Reassigns benefits to 1 organization

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 IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

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 100Reported as apm
Quality
79.78
Promoting interoperability
93.11
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056826MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Mountain Family Practice LLC CurrentSince Aug 1, 2004 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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

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

Sources for this page

Verify at the official NPI Registry.