JEFFREY L BOBER DPM PA – NPI #1194999359
Clinic/Center

JEFFREY L BOBER DPM PA is an AHC clinic located in GLEN BURNIE, MD. NPPES has assigned the NPI number 1194999359 to JEFFREY L BOBER DPM PA on April 18, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. JEFFREY L BOBER DPM PA is also known by the name JEFFREY L BOBER DPM PA ASC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 2 years ago on Jun 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY L BOBER DPM PA below.

NPI Profile for
JEFFREY L BOBER DPM PA

NPI Number
1194999359
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEFFREY L BOBER DPM PA
Other Name: JEFFREY L BOBER DPM PA ASC
Primary location
7845 OAKWOOD ROAD SUITE 308
GLEN BURNIE, MD 21061-3526
Phone: (141) 076-1960 Fax: (443) 628-0293
Mailing address
7845 OAKWOOD RD STE 308
GLEN BURNIE, MD 21061-4266
Phone: (410) 761-9606 Fax: (443) 628-0293
Organization Subpart
No
Authorized Official
JEFFREY BOBER
OWNER
Phone: (410) 761-9606
Updated
Certification Date
Jan 14, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.