Boden James Port, DO
NPI 1003519919ActiveIndividual· General Practice· Eglin Afb, FL
General Practice (DO) in Eglin Afb, Florida, licensed in IN, with an NPI issued in March 2023. Part D covered 91 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1003519919 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 22, 2023 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 02008108A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - General Surgery (NV) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 91 · 103 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $3,348 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 29 general practitioners in Eglin Afb · All general practitioners in Florida