Individual
DAVID J BOHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2400
(336) 716-2255
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 277-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35270
NC
207RI0011X
Interventional Cardiology Physician
35270
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10533
PARTNERS ID#
NC
01
—
1285682310
WSCA GRP NPI #
NC
01
—
16435
BCBS ID#
NC
05
—
1710966718
—
VA
05
—
8916435
—
NC
Enumeration date
01/10/2006
Last updated
07/31/2019
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