Bodyworks Medical

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BODYWORKS MEDICAL

Practice address

12805 Old Fort Rd Ste 301
Fort Washington, MD 20744-2814

Phone

(301) 658-7338

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

Emma Cull

Title

Coo

Phone

(678) 469-5011

Specialties & licenses 2

Addresses

Other names 1

• Ragland Medical Doing business as

Locations

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1861963167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 OLD FORT RD STE 301",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 OLD FORT RD STE 301",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207442814",
            "telephone_number": "301-658-7338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3649 Leonardtown Rd",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206013626",
            "country_code": "US",
            "telephone_number": "240-448-3279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODYWORKS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ragland Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Birchette IV
• Birth Supporters United
• Jadis Bishop
• Blackwell Physicians, LLC
• Merlyn Angella Boakai
• Paul Aubrey Bone, M.D.
• Caesar Antonio Boone, D.P.M.
• Bahareh Borhani, D.C.
• John Andrew Bottiglione, MD
• Philip Benjamin Bovell, MD

• Surgery Physician in Fort Washington, MD
• Providers in Fort Washington, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.