DR. JOHN J BOEREN MD NPI 1376530949

NPI Information

  • NPI: 1376530949
  • Provider Name: DR. JOHN J BOEREN, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 311 W LINCOLN ST
    SUITE 300
    BELLEVILLE, IL
    ZIP 62220
  • Phone: (618) 234-2566

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NPI Details

DR. John J Boeren, MD is a general practice in Belleville, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. John J Boeren, MD NPI is 1376530949. 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:

311 W LINCOLN ST
SUITE 300
BELLEVILLE, IL
ZIP 62220-902
Phone: (618) 234-2566
Fax: (618) 234-5650

The enumeration date for this NPI number is 9/29/2005 and was last updated on 7/8/2007.

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
1208D00000XGeneral PracticeILLINOISYes

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
1166403OTHERGROUP HEALTH PLAN
2779160MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
380015974OTHERRR MEDICARE
45648285OTHERAETNA
50150523OTHERUNITED HEALTHCARE
6127868OTHERBCBS MO
708215273OTHERBCBS IL
8117951OTHERHEALTHLINK
9C38041MEDICARE UPIN

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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