Active NPI
Andrew Bohn, MD
- Family Medicine Physician
- Fort Bliss, TX
National Provider Identifier
1649709387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31915
- Practice address
- 2496 Ricker Rd
Ft. Bliss, TX 79916 - Phone
- (915) 742-9656
- NPI assigned
- Jun 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31915 | NE | Primary |
Addresses
Primary practice location
2496 Ricker Rd
Ft. Bliss, TX 79916
Mailing address
2817 Reilly Rd MCXC - Cod Credentials
Womack Army Medical Center
Fort Bragg, NC 28310
Phone (910) 907-8922
Other practice location 1
2817 Reilly St
Fort Bragg, NC 28310-7324
Phone (910) 907-8922
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31915 | NE | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1649709387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY RD MCXC - COD CREDENTIALS",
"address_2": "WOMACK ARMY MEDICAL CENTER",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2496 RICKER RD",
"city": "FT. BLISS",
"state": "TX",
"postal_code": "79916",
"telephone_number": "915-742-9656"
}
],
"practiceLocations": [
{
"address_1": "2817 Reilly St",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "NC",
"postal_code": "283107324",
"country_code": "US",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHN",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2021-02-12",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "31915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.