Individual
JAMES P BOHNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
IU HEALTH PHYSICIANS BUILDING, 820 SAMUEL MOORE PARKWAY, MOORESVILLE, IN 46258-1794
(317) 483-5000
(317) 483-5050
Mailing address
950 N. MERIDIAN ST., STE. 500, PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46204-3908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01042495A
IN
208000000X
Pediatrics Physician
01042495A
IN
208D00000X
General Practice Physician
01042495A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086759
ANTHEM
IN
05
—
100410830
—
IN
Enumeration date
04/26/2006
Last updated
05/16/2025
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