MEDICARE: SHERIFF BOCKARIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA30164	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA30164	OTHER	DC	DC LICENSE

General Provider Information

NPI Number	:	1225278245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERIFF BOCKARIE

Provider Business Mailing Address
First Line	:	4660 MARTIN LUTHER KING JR AVE SW
Second Line	:	A3
City	:	WASHINGTON
State	:	DC
Zip	:	20032-4933
Country	:	US
Telephone Number	:	202-574-5136
Fax Number	:

Provider Business Practice Location Address
First Line	:	4660 MARTIN LUTHER KING JR AVE SW
Second Line	:	A3
City	:	WASHINGTON
State	:	DC
Zip	:	20032-4933
Country	:	US
Telephone Number	:	202-574-5136
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2009
Last Update Date	:	03/03/2009

Similar Medicare Providers

1679402861 — FRANK TANDE NDOPING
Practice Location Address:

4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC
20032-4933

Practice Phone: 202-318-0179
Practice Fax:

1801054010 — COMPLETE CARE MEDICAL CTR LLC
Practice Location Address:

4660 MARTIN LUTHER KING JR AVE SW , #A3
WASHINGTON, DC
20032-4933

Practice Phone: 202-574-5136
Practice Fax: 202-563-5387

1891051157 — VICTORIA KINGE
Practice Location Address:

4660 MARTIN LUTHER KING JR AVE SW STE A2
WASHINGTON, DC
20032-4933

Practice Phone: 202-318-0179
Practice Fax:

1619236239 — MARGARET EBANGAH TAMBE
Practice Location Address:

4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC
20032-4933

Practice Phone: 202-318-0179
Practice Fax:

1548521388 — MBAH JOSEPHINE ENDAM
Practice Location Address:

4660 MARTIN LUTHER KING JR AVE SW STE A2
WASHINGTON, DC
20032-4933

Practice Phone: 202-318-0179
Practice Fax:

1083963920 — COMPLETE CARE MEDICAL SYSTEMS
Practice Location Address:

4660 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC
20032-4933

Practice Phone: 202-574-5136
Practice Fax:

Directions to “ SHERIFF BOCKARIE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.