Individual
BRIAN J BOHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 FAIRMOUNT AVE STE 500, TOWSON, MD 21286-5466
(410) 494-1662
(410) 494-1718
Mailing address
501 FAIRMOUNT AVE STE 103, TOWSON, MD 21286-5457
(410) 494-7921
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0043489
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0043489
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D0043489
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010 E554
BLUE CHOICE/FEP
MD
01
—
1037339
UNITED HEALTHCARE
—
01
—
242476
MAMSI
—
01
—
290008366
RAILROAD MEDICARE
—
01
—
4800130
UNITEDHEALTHCARE MCO
—
01
—
52688201 420A
BLUE SHIELD
MD
Enumeration date
10/13/2006
Last updated
07/21/2022
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