MEDICARE: DR. MICHAEL ANTHONY BOLOGNESE M.D.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	D24324	MD

General Provider Information

NPI Number	:	1184713190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANTHONY BOLOGNESE M.D.

Provider Business Mailing Address
First Line	:	10215 FERNWOOD RD STE 40
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1183
Country	:	US
Telephone Number	:	301-530-1166
Fax Number	:	301-530-1295

Provider Business Practice Location Address
First Line	:	10215 FERNWOOD RD
Second Line	:	STE 40
City	:	BETHESDA
State	:	MD
Zip	:	20817-1183
Country	:	US
Telephone Number	:	301-530-1166
Fax Number	:	301-530-1295

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	11/17/2011

Similar Medicare Providers

1487990495 — BETHESDA MEDICARE SERVICES LTD
Practice Location Address:

990 GRAND CANYON PKWY , SUITE 418
HOFFMAN ESTATES, IL
60169-1737

Practice Phone: 331-472-8802
Practice Fax: 331-472-8803

1548117336 — MS. AIERKEN NILUBAIER PT
Practice Location Address:

10215 FERNWOOD RD STE 303
BETHESDA, MD
20817-1183

Practice Phone: 124-048-2243
Practice Fax: 301-530-3030

1558336321 — DR. BRENT K. COLE M.D.
Practice Location Address:

10215 FERNWOOD RD STE 100
BETHESDA, MD
20817-1183

Practice Phone: 301-493-4440
Practice Fax: 301-493-9778

1356423743 — ROBERT AGOSTO PT
Practice Location Address:

10215 FERNWOOD RD STE 303
BETHESDA, MD
20817-1183

Practice Phone: 301-530-1010
Practice Fax: 301-897-8597

1790856433 — DR. ANDREA C KARP MD
Practice Location Address:

10215 FERNWOOD RD STE 100
BETHESDA, MD
20817-1183

Practice Phone: 301-493-4440
Practice Fax: 301-493-9778

1639241136 — DR. SUVARNAREKHA ABHYANKAR KAMMULA MD
Practice Location Address:

10215 FERNWOOD RD STE 100
BETHESDA, MD
20817-1183

Practice Phone: 301-493-4440
Practice Fax: 301-493-9778

Directions to “ DR. MICHAEL ANTHONY BOLOGNESE M.D.” 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.