Provider Demographics
NPI:1568755825
Name:BOUNDS, MICHAEL CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHARLES
Last Name:BOUNDS
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:6507 DEER POINTE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1667
Mailing Address - Country:US
Mailing Address - Phone:410-543-9332
Mailing Address - Fax:410-543-9237
Practice Address - Street 1:6507 DEER POINTE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1667
Practice Address - Country:US
Practice Address - Phone:410-543-9332
Practice Address - Fax:410-543-9237
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD00908202086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100251130Medicaid