DR. JOANN N BODURTHA M.D. NPI 1336225028

NPI Information

  • NPI: 1336225028
  • Provider Name: DR. JOANN N BODURTHA, M.D.
  • Classification: Medical Genetics - 207SG0201X
  • Specialization: Clinical Genetics (M.D.)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 N WOLFE ST
    BLALOCK 1012 D MEDICAL GENETICS
    BALTIMORE, MD
    ZIP 21287
  • Phone: (410) 955-1699

Map and Directions

Get Directions

NPI Details

DR. Joann N Bodurtha, M.D. is a clinical genetics (m.d.) medical genetics in Baltimore, MD. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Joann N Bodurtha, M.D. NPI is 1336225028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 N WOLFE ST
BLALOCK 1012 D MEDICAL GENETICS
BALTIMORE, MD
ZIP 21287-005
Phone: (410) 955-1699
Fax: (410) 614-9246

The NPI 1336225028 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 10/27/2006 and was last updated on 12/10/2016.

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
1207SG0201XMedical GeneticsClinical Genetics (M.D.)D73075MARYLANDYes
2207SG0201XMedical GeneticsClinical Genetics (M.D.)0101036738VIRGINIANo
3208000000XPediatrics0101036738VIRGINIANo

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
1B62126MEDICARE UPIN
2229020Y64MEDICARE PINMARYLAND
3049028800MEDICAIDMARYLAND
46756964MEDICAIDVIRGINIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI