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TIMOTHY P. BOHAN PH.D.M.D.PA NPI 1669426490


NPI Information

NPI: 1669426490
Provider Name: TIMOTHY P. BOHAN, PH.D.,M.D.,PA
Classification: Pediatrics - 2080P0006X
Entity Type: Individual

Specialization: Developmental - Behavioral Pediatrics

Organization: PEDIATRIX MEDICAL GROUP OF TEXAS BILLING INC

PECOS Registration: Yes

Address:
6400 FANNIN STREET
SUITE 2740
HOUSTON, TX
ZIP 77030
Phone: (713) 621-4422
Get Directions

Timothy P. Bohan, PH.D.,M.D.,PA is a developmental - behavioral pediatrics pediatrics in Houston, TX with 44 years of experience. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. Timothy P. Bohan, PH.D.,M.D.,PA NPI is 1669426490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:1980

The provider's business location address is:

6400 FANNIN STREET
SUITE 2740
HOUSTON, TX
ZIP 77030-539
Phone: (713) 621-4422
Fax: (713) 621-4055

The NPI 1669426490 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 5/19/2006 and was last updated on 3/19/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsH3784TEXASYes
22080P0008XPediatricsNeurodevelopmental DisabilitiesH3784TEXASNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1136295612MEDICAIDTEXAS
20009ATOTHERTEXASBLUECROSS BLUE SHIELD TX

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: 11/14/2023

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.