# PHILIP B BOVELL, MDPA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104818582
- **Authorized official:** MR. PHILIP BENJAMIN BOVELL MD (OWNER)
- **Authorized official phone:** (301) 292-0757

## Contact information

- **Practice address:** 11701 LIVINGSTON RD, STE 204, FORT WASHINGTON, MD 20744-5104
- **Practice address phone:** (301) 292-0757
- **Mailing address:** 11701 LIVINGSTON RD, STE 204, FORT WASHINGTON, MD 20744-5104
- **Mailing address phone:** (301) 292-0757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | D0020121 | MD | Yes |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 01/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02663880 | — | DC |