Individual provider Active NPI

John Edward Bohlman, M.D.

  • Emergency Medicine Physician
  • Lincoln City, OR
National Provider Identifier
1679649230
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD13421 Issued in OR
Practice address
2870 NE West Devils Lake Rd
Lincoln City, OR 97367-5127
Phone
(541) 994-9191
Fax
(541) 994-9034
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD13421 OR Primary
Internal Medicine Physician 207R00000X MD13421 OR

Addresses

Primary practice location

2870 NE West Devils Lake Rd
Lincoln City, OR 97367-5127

Mailing address

2870 NE West Devils Lake Rd
Lincoln City, OR 97367-5127
Phone (541) 994-9191

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20050629001073 OR Practitioner - Internal Medicine 6002852092 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13421ORMDEmergency Medicine Physician
13421ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince May 3, 2011 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince May 3, 2011 Accepting new patients
Lincoln City Medical Center, PC Internal Medicine Current Accepting new patients

Locations

2870 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (503) 994-9191

2870 NE West Devils Lake Rd
#R
Lincoln City, OR 97367
Phone (503) 994-9191

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1100 3rd St
Tillamook, OR 97141
Phone (503) 815-2116

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

Organizations & group practices 3

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679649230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 NE WEST DEVILS LAKE RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675127",
            "telephone_number": "541-994-9191",
            "fax_number": "541-994-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 NE WEST DEVILS LAKE RD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675127",
            "telephone_number": "541-994-9191",
            "fax_number": "541-994-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLMAN",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD13421",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD13421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

Verify at the official NPI Registry.