Dr. John William Bouldin
M.D. | Pediatrics | Male
Dr. John William Bouldin, M.D. is a Salem, Virginia based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. John William Bouldin is
1802 Braeburn Dr, Salem, Virginia - 24153-7357. He can be contacted on phone at
540-772-3580 and fax number 540-725-5012.
Dr. John William Bouldin is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. John William Bouldin is
1386624930 which was assigned by NPPES on 19 Jan, 2006 and it was last updated on 02 May, 2011.
Dr. John William Bouldin license number is
0101055716 for Pediatrics (208000000X) in Virginia.
Dr. John William Bouldin is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. John William Bouldin basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. John William Bouldin |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. John William Bouldin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1802 Braeburn Dr
Salem, VA, 24153-7357
United States |
|---|
| Phone Number : | 540-772-3580 |
|---|
| Fax Number : | 540-725-5012 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1386624930 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 19 Jan, 2006 |
|---|
| Last Updated On : | 02 May, 2011 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John William Bouldin are as mentioned. Primary taxonomy code for Dr. John William Bouldin, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0101055716 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. John William Bouldin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 281202 | Other | VA | AMERIGROUP |
| 1386624930 | MEDICAID | VA | |
| 6701302 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1802 Braeburn Dr
Salem, VA, 24153-7357
United States |
|---|
| Phone Number : | 540-772-3580 |
|---|
| Fax Number : | 540-725-5012 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. John William Bouldin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.