Alexander A Bobrov, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

009736 Issued in OH

Practice address

829 Bethel Rd # 138
Columbus, OH 43214-1903

Phone

(614) 505-9112

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Mercy Emergency Care Services, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1477957819
  Medicare reassignment NPD
• Emergency Professional Services, Inc.

  dba Emergency Professional Services of Ohio, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment
• JTDM Family Practice LLC

  • Family Medicine Physician
  • Saint Marys, OH
  • NPI 1184652539
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Lucas County Emergency Physicians Inc

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1811998560
  NPD (past)
• Noes/Paulding, LTD

  • Emergency Medicine Physician
  • Sylvania, OH
  • NPI 1619997459
  NPD (past)
• Northwest Ohio Emergency Services, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1407992902
  NPD (past)
• Orthopaedic Institute of Ohio, Inc

  • Orthopaedic Surgery Physician
  • Lima, OH
  • NPI 1902886492
  NPD (past)
• Riverwood Emergency Services Inc.

  • Emergency Medicine Physician
  • Perrysburg, OH
  • NPI 1104888536
  NPD (past)
• White Trillium Emergency Physicians LLC

  • Emergency Medicine Physician
  • Cambridge, OH
  • NPI 1720364631
  NPD (past)
• Emergency Medicine Physicians of Iredell County, PLLC

  • Emergency Medicine Physician
  • Statesville, NC
  • NPI 1104151109
  NPD (past)
• Emergency Medicine Physicians of Mecklenburg County, PLLC

  • Emergency Medicine Physician
  • Charlotte, NC
  • NPI 1912232182
  NPD (past)

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1679738157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "614-505-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 BETHEL RD # 138",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141903",
            "telephone_number": "614-505-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROV",
        "first_name": "ALEXANDER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "6646621",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2011-00629",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3047",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101020859",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "277772",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "009736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Bobo - Doster
• Brandi Bobo, MBA
• Cynthia Bobo
• Lisa Ann Bobo, CNP
• Ashlee Bobrick, MS, RDN, LD
• Jared Evan Bobulski, MD
• Gregory Steven Bobulsky, M.D.
• Bocare LLC
• Emily Elizabeth Bochenek
• Amy Bock, LPCC

• Emergency Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.