John William Bouldin in Salem - Pediatrics
John William Bouldin - NPI 1386624930
John William Bouldin is a Pediatrics in Salem, Virginia. John William Bouldin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for John William Bouldin is 1386624930. The last update date is 2011-05-02.
John William Bouldin's current location address is 1802 Braeburn Dr, Salem, Virginia. You can contact this provider via phone number 5407723580 and fax number 5407255012. The mailing address for John William Bouldin is 1802 Braeburn Dr, Salem, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John William Bouldin |
|---|---|
| Address | 1802 Braeburn Dr, Salem, Virginia |
| Phone Number | 5407723580 |
| Fax Number | 5407255012 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386624930 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2011-05-02 |
Provider Mailing Address Detail
| Address | 1802 Braeburn Dr |
|---|---|
| City | Salem |
| State | Virginia (VA) |
| Post Code | 241537357 |
| Phone Number | 5407723580 |
| Fax Number | 5407255012 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 101055716 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6701302 | VA | -- | |
| 281202 | VA | AMERIGROUP | |
| 1386624930 | VA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to John William Bouldin by the Centers for Medicare & Medicaid Services?
The John William Bouldin has been issued the NPI (National Provider Identifier) 1386624930. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John William Bouldin's facilities are geographically located?
The facilities of John William Bouldin are physically situated at the following location: 1802 Braeburn Dr, Salem, VA, 241537357.
What is John William Bouldin's area of expertise and its corresponding taxonomy classification?
The John William Bouldin's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1386624930 to John William Bouldin?
The John William Bouldin received its 1386624930 assignment from the Centers for Medicare & Medicaid Services on 2006-01-19.
As of what date were the John William Bouldin's details last updated?
The information pertaining to the John William Bouldin, including its address, specialty, and other details, was most recently updated on 2011-05-02.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY