Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mia Yu Bothwell, MD, PHD

Individual provider Neurology Physician · NPI 1376170548

Dr. Mia Yu Bothwell, MD, PHD is a Neurology in Boston, Massachusetts. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2020, 6 years ago. Works from 2 locations. Licensed in Massachusetts.

Years since qualifying
6
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
MA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-5820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Francis St, Boston, MA 02115-6106 — (617) 732-5500

Specialties & licences

Epilepsy Physician (primary) Taxonomy 2084E0001X · Licence 1019096 (MA)
Neurology Physician Taxonomy 2084N0400X · Licence 1019096 (MA)

Record details

NPI number1376170548
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Also practisesEPILEPTOLOGISTS
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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