BODEN JAMES PORT DO
NPI 1003519919
General Practice in Eglin Afb, FL
About Boden James Port Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BODEN JAMES PORT DO (NPI 1003519919) is an individual general practice provider in Eglin Afb, Florida, licensed in Indiana (02008108A) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boden James Port Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EGLIN AFB, FL 32542
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Boden Port's NPI number?
The NPI number for Boden Port is 1003519919. It was assigned to this individual provider in the NPPES registry on March 22, 2023.
Where is Boden Port located?
Boden Port practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8600.
What is Boden Port's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Boden Port enrolled in Medicare?
Yes. Boden Port is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Boden Port was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Boden James Port, DO · NPI 1003519919
General Practice physician in Eglin Afb, Florida. Individual provider, active in the CMS NPPES registry since March 22, 2023.
## Identity
- **NPI:** 1003519919 (Entity type: Individual)
- **Enumerated:** March 22, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 02008108A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 307 BOATNER RD STE 114, Eglin Afb, FL 32542-1302
- **Phone:** (850) 883-8600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003519919) · Data from the CMS NPPES public registry.