Alexander Bory, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810001956 Issued in VA

Practice address

1119 Caroline St
Fredericksburg, VA 22401-3815

Phone

(540) 371-2251

Fax

(540) 371-2930

NPI assigned

Jul 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mary Washington Healthcare Specialty Services LLC

  • Anesthesiology Physician
  • Fredericksburg, VA
  • NPI 1821033010
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473465600000",
    "number": "1437170305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 CAROLINE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013815",
            "telephone_number": "540-371-2251",
            "fax_number": "540-371-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 CAROLINE ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013815",
            "telephone_number": "540-371-2251",
            "fax_number": "540-371-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORY",
        "first_name": "ALEXANDER",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2016-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810001956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00041531",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "100521",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Booth, D.P.T.
• Amber Boozer, BCBA
• Connie Marie Borkowski, MPH
• Devin Borland
• Thomas Edward Borsari, MD
• Beverley L Bouchard, CPM, LM
• Emilie Anne-Marie Bouchard
• Alfred Larry Boulware, M.D.
• Valerie H. Boulware, M.D.
• Rachel George Boutros, DMD

• Psychologist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.