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

Dr. Carl Bohm, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609372952

Dr. Carl Bohm, DO is an Emergency Medicine in Peoria, Illinois. Qualified in 2018, 8 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Missouri and North Carolina.

Years since qualifying
8
Licensed in
MO, NC
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2021-01331 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2024024643 (MO)

Record details

NPI number1609372952
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2018
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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