KELLY V. BOMER M.D. – NPI #1871501999
Otolaryngology
An otolaryngologist who specializes in facial plastic surgery.
KELLY BOMER is an otolaryngologist located in SCOTTSDALE, AZ. NPPES has assigned the NPI number 1871501999 to KELLY BOMER on August 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery
The NPI profile was previously updated about 6 years ago on Dec 20, 2019. 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 KELLY BOMER below.
NPI Profile for
KELLY V. BOMER
(about 20 years ago)
SCOTTSDALE, AZ 85260-1521 Phone: (480) 889-8870 Fax: (480) 889-8871
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.
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 |
|---|---|---|
| 207YS0123X - Otolaryngology / Facial Plastic Surgery (Primary) |
AZ | 30302 |
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.