Body and Soul Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS008290L Issued in PA

Legal business name

BODY AND SOUL INC.

Practice address

7810 Old York Rd
Elkins Park, PA 19027-2509

Phone

(215) 782-2250

Fax

(215) 782-2252

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Juliette E Louis-Charles, D.O.NPI 1740216563

Title

President

Phone

(215) 782-2250

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• Juliette E Louis-Charles, DO

  • Family Medicine Physician
  • Elkins Park, PA
  • NPI 1740216563
  Medicare reassignment NPD Authorized official
• Dulie Rene, FNP

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1740817915
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1467474353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272509",
            "telephone_number": "215-782-2250",
            "fax_number": "215-782-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272509",
            "telephone_number": "215-782-2250",
            "fax_number": "215-782-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY AND SOUL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "LOUIS-CHARLES",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-782-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008290L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015389860005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Elisa Blatt, D.O.
• Nissa Blocher, MD
• Bluebird ABA LLC
• Ruth Bluethenthal-Appel, LCSW, CERTIFIED CFT
• Yale Robert Bobrin, D.O.
• Melissa Boehmer, M.S., CCC-SLP
• Linda Bojman, MS,RD,LDN
• Marquita Janinne Bolden, MSW, LCSW
• Bon Vivant Safety Eyewear Company Inc
• Lindsay Marie Bondurant, PH.D., CCC-A

• Family Medicine Physician in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.