DR. BRUCE M BOMAN MD NPI 1275556516

NPI Information

NPI: 1275556516
Provider Name: DR. BRUCE M BOMAN, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
4701 OGLETOWN STANTON RD STE 2200
NEWARK, DE
ZIP 19713
Phone: (302) 623-4500
Get Directions

DR. Bruce M Boman, MD is a clinical genetics (m.d.) medical genetics in Newark, DE. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Bruce M Boman, MD NPI is 1275556516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4701 OGLETOWN STANTON RD STE 2200
NEWARK, DE
ZIP 19713-000
Phone: (302) 623-4500
Fax: (302) 623-4845

The NPI 1275556516 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 5/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD066107L	PENNSYLVANIA	No
2	207RX0202X	Internal Medicine	Medical Oncology	C1-0008583	DELAWARE	No
3	207RX0202X	Internal Medicine	Medical Oncology	MD066107L	PENNSYLVANIA	No
4	207SC0300X	Medical Genetics	Clinical Cytogenetics	MD066107L	PENNSYLVANIA	No
5	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	MD066107L	PENNSYLVANIA	No
6	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	C1-0008583	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001715777	MEDICAID	PENNSYLVANIA
2	7698003	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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