Dr. James Bofill
Gynecologist - Maternal & Fetal Medicine
2500 N State St
Jackson
, Mississippi 39216-4500
Dr. James Bofill
Gynecologist - Maternal & Fetal Medicine
2500 N State St
Jackson
, Mississippi 39216-4500
(601) 984-5476
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. James Bofill
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Fax : (601) 984-5476
- Phone : (601) 984-5373
Second Address
- Dr. James Bofill
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Fax : (601) 984-5476
- Phone : (601) 984-5373
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 13854 | MS |
National Provider Identifier
| NPI | 1033154935 |
|---|---|
| Provider Name | Dr. James Bofill |
| First Address | Jackson, MS 39216-4500 |
| Second Address | Jackson, MS 39216-4500 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2006 |
| Last Update Date | 08/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00120739 | (05) | MS |
| 08103071 | UP MEDICAID GROUP PROV# (01) | MS |
| 160045198 | RR MEDICARE NUMBER (01) | MS |
| 178580 | (05) | AL |
| 302I167014 | MEDICARE PROVIDER ID (01) | MS |
| 512G700003 | UP MEDICARE GROUP PROV# (01) | MS |
| 512I160013 | MEDICARE PTAN (01) | MS |
| G26960 | (02) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.