Organization Active NPI

Bobecorp Inc

  • Internal Medicine Physician
  • Delray Beach, FL
National Provider Identifier
1588958649
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME95575 Issued in FL
Legal business name
BOBECORP INC
Doing business as
Sovereign Medical Associates
Practice address
5210 Linton Blvd
Ste 304
Delray Beach, FL 33484-6542
Phone
(561) 212-2021
NPI assigned
Jun 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Richard Roderick Bobe, M.D.NPI 1841258571
Title
President
Phone
(561) 212-2021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME95575 FL Primary

Addresses

Primary practice location

5210 Linton Blvd
Ste 304
Delray Beach, FL 33484-6542

Mailing address

9363 Lake Serena Dr
Boca Raton, FL 33496-6509

Other names 1

  • Sovereign Medical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110810000518 FL Part B Supplier - Clinic/Group Practice 2668641564 Receives reassigned benefits from 1 practitioner
Practice locations: Delray Beach, FL; Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

5210 Linton Blvd
Ste 304
Delray Beach, FL 33484
Phone (561) 495-2112

15340 S Jog Rd
Ste 208
Delray Beach, FL 33446
Phone (561) 496-0333

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1588958649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9363 LAKE SERENA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334966509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD",
            "address_2": "STE 304",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846542",
            "telephone_number": "561-212-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBECORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "BOBE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RODERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-212-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sovereign Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.