Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bo Tyler Headlam, MD

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1619939246

Dr. Bo Tyler Headlam, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Portsmouth, Ohio. Licensed in Illinois, Nebraska, New York and Ohio. Registered with an NPI since 2006.

Licensed in
IL, NE, NY, OH
In the registry since
2006
Specialties on file
10
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1735 27th St Waller Bldg Ste 302
Portsmouth, OH 45662-2677
Phone: (740) 356-6808
Fax: (740) 356-6826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 286498 (NY)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 25588 (NE)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 036115263 (IL)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 25588 (NE)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 25588 (NE)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 036115263 (IL)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 35120229 (OH)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 35120229 (OH)
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X · Licence 286498 (NY)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 35120229 (OH)

Record details

NPI number1619939246
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025