DR. BRADLEY ALLEN BOEHM DO NPI 1225092554

NPI Information

  • NPI: 1225092554
  • Provider Name: DR. BRADLEY ALLEN BOEHM, DO
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1065 US 23 NORTH
    ALPENA, MI
    ZIP 49707
  • Phone: (989) 354-0607

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NPI Details

DR. Bradley Allen Boehm, DO is an urology in Alpena, MI with 39 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Bradley Allen Boehm, DO NPI is 1225092554. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

1065 US 23 NORTH
ALPENA, MI
ZIP 49707
Phone: (989) 354-0607
Fax: (989) 356-6710

The NPI 1225092554 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Injection, garamycin, gentamicin, up to 80 mg (HCPCS:J1580)
  • Instillation of anti-cancer drug into bladder (HCPCS:51720)
  • Bcg live intravesical instillation, 1 mg (HCPCS:J9030)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Biopsy of prostate gland (HCPCS:55700)
  • Simple insertion of temporary bladder tube (HCPCS:51702)
  • Tissue marker, implantable, any type, each (HCPCS:A4648)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Electronic analysis of implanted neurostimulator generator with simple spinal cord or peripheral nerve stimulator programming (HCPCS:95971)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Placement of device in prostate for radiation therapy (HCPCS:55876)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 4/13/2006 and was last updated on 10/2/2025.

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
1208800000XUrologyBB012930MICHIGANYes

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
13438729MEDICAIDMICHIGAN

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: 11/21/2025

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