IndividualActive

Bo Headlam, M.D.

NPI 1619939246 · Interventional Pain Medicine Physician · Portsmouth, OH

Provider details

NPI number: 1619939246
Entity type: Individual
Primary specialty: Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 25588 (NE)

Interventional Pain Medicine PhysicianPrimary208VP0014XLicense 286498 (NY)
Allopathic & Osteopathic Physicians
Pain Medicine (Physical Medicine & Rehabilitation) Physician2081P2900XLicense 25588 (NE)
Allopathic & Osteopathic Physicians
Pain Medicine (Physical Medicine & Rehabilitation) Physician2081P2900XLicense 036115263 (IL)
Allopathic & Osteopathic Physicians
Pain Medicine Physician208VP0000XLicense 25588 (NE)
Allopathic & Osteopathic Physicians
Interventional Pain Medicine Physician208VP0014XLicense 25588 (NE)
Allopathic & Osteopathic Physicians
Interventional Pain Medicine Physician

1735 27th St

Waller Building, Suite 302

Portsmouth, OH 45662-2677

Phone: (740) 356-6808

Fax: (740) 356-6826

Approximate (ZIP-level) locationGet directions

68 S Service Rd

Melville, NY 11747-2354

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.