Robert Daniel Bohl, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

2007-00196 Issued in NC

Practice address

222 Virginia Rd
Suite B
Edenton, NC 27932-9667

Phone

(252) 482-2210

Fax

(252) 482-2257

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Urology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318

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.

• Central Ohio Urology Group, LLC

  • Urology Physician
  • Gahanna, OH
  • NPI 1396780466
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• East Carolina Health - Chowan Inc

  dba ECU Health Chowan Hospital

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1477541183
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1922049105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 VIRGINIA RD",
            "address_2": "SUITE B",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329667",
            "telephone_number": "252-482-2210",
            "fax_number": "252-482-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 VIRGINIA RD",
            "address_2": "SUITE B",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279329667",
            "telephone_number": "252-482-2210",
            "fax_number": "252-482-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHL",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2007-00196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910769",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0355246",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William S Blakemore, MD
• James G Blount Sr., R.PH.
• Blount'S Mutual Drug'S Inc
• Blount'S Mutual Drugs, Inc.
• Peter Francis Boehling, MD
• Earic Ramon Bonner, M.D.
• Judith Anne Borger
• Erica Bradley, MS, CCC-SLP
• Jerry L Bradley, DDS
• Percy Elbert Braswell Jr., PA-C

• Urology Physician in Edenton, NC
• Providers in Edenton, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.