Physician Compare National (NPI:1225110448)

HEALTHCARE PROVIDER: ZACHARY BOHART MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1225110448
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658422779
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090701000515
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOHART
	Individual professional last name
Provider First Name	ZACHARY
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BOSTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	250 POND ST
	Group Practice or individual's line 1 address
City	BRAINTREE
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021845351
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7816829700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220116
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TUFTS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y