Robert Bradley Boughan, MD - Medicare Internal Medicine in Odenton, MD

Robert Bradley Boughan, MD is a medicare enrolled "Internal Medicine" physician in Odenton, Maryland. He went to University Of Maryland School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Agape Physical Therapy And Sports Rehabilitation Lp, Maryland Family Care Inc and his current practice location is 1106 Annapolis Rd, Suite 310, Odenton, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 874-1400.

Robert Bradley Boughan is licensed to practice in Maryland (license number D0069537) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770608721.

Contact Information

Robert Bradley Boughan, MD
1106 Annapolis Rd, Suite 310,
Odenton, MD 21113-1602
(410) 874-1400
(410) 874-1411

Map and Direction




Physician's Profile

Full NameRobert Bradley Boughan
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location1106 Annapolis Rd, Odenton, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Robert Bradley Boughan attended and graduated from University Of Maryland School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1770608721
  • Provider Enumeration Date: 03/20/2007
  • Last Update Date: 04/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5799831137
  • Enrollment ID: I20090925000459

Medical Identifiers

Medical identifiers for Robert Bradley Boughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770608721NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D0069537 (Maryland)Primary
208000000XPediatrics D0069537 (Maryland)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Stella Maris IncTimonium, MDHome health agency
Encompass Health Home HealthOwings mills, MDHome health agency
University Of Md St Joseph Medical CenterTowson, MDHospital
Mercy Medical Center IncBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agape Physical Therapy And Sports Rehabilitation Lp3870741390210
Maryland Family Care Inc5092629394127

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Robert Bradley Boughan allows following entities to bill medicare on his behalf.
Entity NameMaryland Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718256
PECOS PAC ID: 5092629394
Enrollment ID: O20031119000273

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Bradley Boughan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Robert Bradley Boughan, MD
1106 Annapolis Rd, Suite 310,
Odenton, MD 21113-1602

Ph: (410) 874-1400
Robert Bradley Boughan, MD
1106 Annapolis Rd, Suite 310,
Odenton, MD 21113-1602

Ph: (410) 874-1400

Reviews and Comments


Internal Medicine Doctors in Odenton, MD

Dr. Wanda Rivera, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1132 Annapolis Rd, Odenton, MD 21113
Phone: 410-874-1400    
Melissa Nedelka Anderson, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1110 Annapolis Rd, Odenton, MD 21113
Phone: 443-351-3917    Fax: 443-351-3918
Dr. Jefferson L Hendrickson, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1106 Annapolis Rd, Odenton, MD 21113
Phone: 410-874-1400    
Ms. Pamela Denise Ponder,
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2603 Portola Court, Odenton, MD 21113
Phone: 301-377-6891    
Dr. Barry I Bercovitz, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1106 Annapolis Rd, Odenton, MD 21113
Phone: 410-874-1400    Fax: 410-874-1411
Dr. Mark H. Davino, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1106 Annapolis Rd, Suite 310, Odenton, MD 21113
Phone: 410-874-1400    Fax: 410-874-1411

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.