Active NPI
Bedford F Boylston, M.D.
- Vascular Surgery Physician
- Clinton, MD
National Provider Identifier
1457307431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- D0059944
- Practice address
- 7501 Surratts Rd
Suite 303
Clinton, MD 20735-3362 - Phone
- (301) 868-8485
- Fax
- (301) 868-0638
- NPI assigned
- May 25, 2006
- Last updated
- Sep 30, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | D0059944 | MD | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | D0059944 | MD |
Addresses
Primary practice location
7501 Surratts Rd
Suite 303
Clinton, MD 20735-3362
Mailing address
7501 Surratts Rd
Suite 303
Clinton, MD 20735-3362
Phone (301) 868-8485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0059944 | MD | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging Group, LLC | Past | Accepting new patients | |
| Spine Institute of Ohio, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1134338874
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- Orthopaedic Surgery Physician
- Columbus, OH
- NPI 1275878597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1457307431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 SURRATTS RD",
"address_2": "SUITE 303",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353362",
"telephone_number": "301-868-8485",
"fax_number": "301-868-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 SURRATTS RD",
"address_2": "SUITE 303",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353362",
"telephone_number": "301-868-8485",
"fax_number": "301-868-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLSTON",
"first_name": "BEDFORD",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MD",
"license": "D0059944",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MD",
"license": "D0059944",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.