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Contact Information

JAMES BOFILL, MD
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-5373
 Fax: 601-984-5476
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JAMES BOFILL · (Male)

NPI # 1033154935
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2006
Last updated 12/08/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 13854
  • AL Medicaid 178580
  • MS Medicaid 00120739
  • MS Other 302I167014 MEDICARE PROVIDER ID
  • MS Other 512I160013 MEDICARE PTAN
  • MS Other 160045198 RR MEDICARE NUMBER
  • MS Other 08103071 UP MEDICAID GROUP PROV#
  • MS Other 512G700003 UP MEDICARE GROUP PROV#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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