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MARIA SARAH SOPHIE BOVENBERG MD PHD NPI 1528590858


NPI Information

NPI: 1528590858
Provider Name: MARIA SARAH SOPHIE BOVENBERG, MD, PHD
Classification: Dermatology - 207N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
653 N TOWN CENTER DR STE 410
LAS VEGAS, NV
ZIP 89144
Phone: (702) 456-3120
Get Directions

Maria Sarah Sophie Bovenberg, MD, PHD is a dermatology in Las Vegas, NV with 10 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Maria Sarah Sophie Bovenberg, MD, PHD NPI is 1528590858. 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:

653 N TOWN CENTER DR STE 410
LAS VEGAS, NV
ZIP 89144-518
Phone: (702) 456-3120

The NPI 1528590858 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 3/27/2017 and was last updated on 2/1/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural Dermatology23802NEVADANo
2207ND0101XDermatologyMOHS-Micrographic Surgery23802NEVADANo
3207N00000XDermatology23802NEVADAYes

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

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.