Individual provider Active NPI

Brian J Bohner, M.D.

  • Pulmonary Disease Physician
  • Towson, MD
National Provider Identifier
1598855124
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0043489 Issued in MD
Practice address
515 Fairmount Ave Ste 500
Towson, MD 21286-5466
Phone
(410) 494-1662
Fax
(410) 494-1718
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0043489 MD
Sleep Medicine (Internal Medicine) Physician 207RS0012X D0043489 MD
Pulmonary Disease Physician 207RP1001X D0043489 MD Primary

Addresses

Primary practice location

515 Fairmount Ave Ste 500
Towson, MD 21286-5466

Mailing address

501 Fairmount Ave Ste 103
Towson, MD 21286-5457
Phone (410) 494-7921

Other identifiers 6

IdentifierTypeStateIssuer
0010 E554OtherMDBLUE CHOICE/FEP
1037339OtherUNITED HEALTHCARE
52688201 420AOtherMDBLUE SHIELD
242476OtherMAMSI
290008366OtherRAILROAD MEDICARE
4800130OtherUNITEDHEALTHCARE MCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071004000646 MD Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 2769577881 Reassigns benefits to 2 organizations
I20100111000164 DC Practitioner - Pulmonary Disease 2769577881

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland St Joseph Medical Group LLCGroup PAC ID 4880846179, 288 clinicians

Practice addresses (Care Compare)

515 Fairmount Ave
Suite 500
Towson, MD 21286-8502
Phone (410) 494-1662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0043489MDMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Pulmonary and Critical Care Associates of Baltimore, PA CurrentSince Jul 24, 2022 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Sleep Disorders CTRS of the Mid Atlantic LLC CurrentSince Feb 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sleep Disorders CTRS of the Mid Atlantic LLC Past Accepting new patients

Locations

71 Old Mill Bottom Rd N
Ste 102
Annapolis, MD 21409
Phone (410) 757-1297

501 Fairmount Ave
Ste 103
Towson, MD 21286
Phone (410) 494-7920

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

515 Fairmount Ave
Ste 500
Towson, MD 21286
Phone (410) 494-1662

515 Fairmount Ave
Ste 401
Towson, MD 21286
Phone (410) 337-1094

2235 Cedar Ln
Ste 201
Vienna, VA 22182
Phone (443) 305-6877

Interoperability endpoints

  • Direct secure messaging: brian.bohner@pccab.directbygreenway.com
  • Direct secure messaging: bbohner115235@direct.umm.edu

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598855124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRMOUNT AVE STE 103",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865457",
            "telephone_number": "410-494-7921",
            "fax_number": "410-902-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE STE 500",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-1662",
            "fax_number": "410-494-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNER",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0043489",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MD",
            "license": "D0043489",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0043489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE/FEP",
            "identifier": "0010  E554",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1037339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "52688201  420A",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "242476",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290008366",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE MCO",
            "identifier": "4800130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.