Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BO BAO, M.D.
Deactivated Sole ProprietorBO BAO, M.D. is a Student (Health Education/Training) healthcare provider located in BOSTON, Massachusetts. NPI 1053170449 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · BOSTON, MA
This NPI has been deactivated.
The record was deactivated on October 23, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1053170449
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2024 (0.6 yrs)
- Last Updated
- Feb 21, 2025
- Deactivated
- Oct 23, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 FRANCIS STBOSTON, MA, 02115Browse MA providers · Browse ZIP 02115
- Phone
- 5877858651
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| ALLYSON L MARTIN | MS | 1619946720 |
| DR. THOMAS COURTNEY HAWES | M.D. | 1619993896 |
| DR. PAUL R. KORN | PH.D. | 1760509343 |
| KAREN AGARD | — | 1487863361 |
| JULIE A BARTHOLOMEW | MD | 1750590832 |
| TIEN DUONG DO | MS | 1891997623 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.