Paul J Bohdiewicz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

060519 Issued in MI

Practice address

543 Newburne Pointe
Bloomfield Hills, MI 48304-1411

Phone

(248) 332-3260

Fax

(248) 332-3260

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Radiology Specialties PC

  • Diagnostic Radiology Physician
  • Warren, MI
  • NPI 1871518449
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1689609869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 NEWBURNE POINTE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041411",
            "telephone_number": "248-332-3260",
            "fax_number": "248-332-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 NEWBURNE POINTE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041411",
            "telephone_number": "248-332-3260",
            "fax_number": "248-332-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHDIEWICZ",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "060519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4688790",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bloomfield Professional Pharmacy
• Bloomfield RX LLC
• Bloomfield Urgent Care PLLC
• Bloomfield Vein & Vascular PLLC
• Christian Bogner, M.D.
• Kristen Lee Boike, MS, LPC
• Boloms Transport Services, LLC
• Camille Bolton, LLPC
• Bonne Sante Compounding Pharmacy LLC
• Kalsey Boots

• Diagnostic Radiology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.