DR. MARK EARL BOMIA DO NPI 1790855674

NPI Information

  • NPI: 1790855674
  • Provider Name: DR. MARK EARL BOMIA, DO
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 719 OKATIE HWY # 170
    OKATIE, SC
    ZIP 29909
  • Phone: (843) 987-7400

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NPI Details

DR. Mark Earl Bomia, DO is a diagnostic radiology radiology in Okatie, SC with 21 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Mark Earl Bomia, DO NPI is 1790855674. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:2005

The provider's business location address is:

719 OKATIE HWY # 170
OKATIE, SC
ZIP 29909-963
Phone: (843) 987-7400

The NPI 1790855674 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 11/8/2006 and was last updated on 3/31/2025.

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
12085R0202XRadiologyDiagnostic Radiology02003096AINDIANANo
22085R0202XRadiologyDiagnostic Radiology36489SOUTH CAROLINAYes

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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