David P. Boersma, M.D., L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D0040048 Issued in MD

Legal business name

DAVID P. BOERSMA, M.D., L.L.C.

Practice address

7505 Osler Dr Ste 510
Towson, MD 21204-7740

Phone

(410) 823-5532

Fax

(410) 823-5703

NPI assigned

Aug 15, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David P Boersma, M.D.NPI 1235117219

Title

PCP/Owner

Phone

(410) 823-5532

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David P Boersma, M.D.

  • Internal Medicine Physician
  • Towson, MD
  • NPI 1235117219
  NPD (past) Authorized official

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1659563427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 510",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047740",
            "telephone_number": "410-823-5532",
            "fax_number": "410-823-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR STE 510",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047740",
            "telephone_number": "410-823-5532",
            "fax_number": "410-823-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P. BOERSMA, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "BOERSMA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PCP/OWNER",
        "authorized_official_telephone_number": "410-823-5532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0040048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "372R",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pankaj B. Dave, P.A.
• Vihang Dave
• Trina N Davenport
• David L Bloom PA (Accesible MRI of Baltimore County)
• David P. Boersma, M.D., L.L.C.
• David William Deveas DDS (DeVeas Family Dentistry)
• Rene Patrice David, LCSW-C
• David's Hope Therapeutic Services, LLC
• Bryce Canyon Davidson, PHARMD
• Linda Marie Davies, FNP-C

• Primary Care Clinic/Center in Towson, MD
• Providers in Towson, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.