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

Kyle Bohan, DO

Individual provider Family Medicine Physician · NPI 1457730855

Kyle Bohan, DO is a Family Practice in Tucson, Arizona. Qualified in 2015, 11 years ago. Practices with El Rio Santa Cruz Neighborhood Health Center, Inc, a 283-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona, Illinois, New Mexico and Wisconsin.

Years since qualifying
11
Licensed in
AZ, IL, NM, WI
In the registry since
2015
Specialties on file
5
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

3950 S Country Club Rd Ste 130
Tucson, AZ 85714-2203
Phone: (520) 670-3909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5425 W Lake St, Chicago, IL 60644 — (773) 378-3347
  • 3 Erie Ct, Oak Park, IL 60302-2519 — (708) 406-3929
  • 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204 — (414) 672-1353
  • 4570 S 27th St, Milwaukee, WI 53221-2145 — (414) 672-1353

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 010766 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 69257 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036144438 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence A-2495-21 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457730855
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 19, 2015
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024
Mailing address3950 S Country Club Rd, Tucson, AZ 85714-2099

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice El Rio Santa Cruz Neighborhood Health Center, Inc. — 283 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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