Don Bousel, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D36353 Issued in MD

Practice address

2411 W Belvedere Ave
Ste 201
Baltimore, MD 21215-5229

Phone

(410) 542-5116

NPI assigned

Oct 26, 2005

Last updated

Mar 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1487644878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BRIGHT LEAF WAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093470",
            "telephone_number": "410-358-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE",
            "address_2": "STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155229",
            "telephone_number": "410-542-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSEL",
        "first_name": "DON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D36353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528101600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denis Lee Bourke, M.D.
• Mohammad Bourmaf
• Paige R Bourne, DPT
• Douglas Michael Bourque, MD
• Tatiana Bourque
• Kaitlin Boushell, PT, DPT, CBIS
• Armin Boutehsaz, DDS
• George Steven Bova, M.D.
• Eleni Bowden, MS, CCC-SLP
• Shaneca B'Nia Bowden

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.