NPI Code Detail JSON Logo

1508127002 NPI number — LOUIS BERNADIN CLAUDEL BOIS M.D.,

NPI Number: 1508127002
Health Care Provider/Practitioner: LOUIS BERNADIN CLAUDEL BOIS M.D.,

Information about “1508127002” NPI (LOUIS BERNADIN CLAUDEL BOIS M.D.,) exists in 1508127002 in HTML format HTML  |  1508127002 in plain Text format TXT  |  1508127002 in PDF (Portable Document Format) PDF  |  1508127002 in an XML format XML  formats.

NPI Number : 1508127002 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508127002",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOIS",
    "FirstName": "LOUIS",
    "MiddleName": "BERNADIN CLAUDEL",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M.D.,",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BOIS",
    "OtherFirstName": "LOUIS",
    "OtherMiddleName": "B",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "401 W NORTH BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEESBURG",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34748-5044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-728-4242",
    "MailingAddressFaxNumber": "352-728-4868",
    "FirstLinePracticeLocationAddress": "2525 HIGHWAY 44 W",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "INVERNESS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34453-3722",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-556-6881",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/01/2012",
    "LastUpdateDate": "06/18/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "ME122466",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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