Individual provider · Type 1 NPI

Mia Yu Bothwell, MD, PhD

Epilepsy Physician · Boston, MA

NPI number 1376170548 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

15 Parkman St # 835
Boston, MA 02114-3117

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X1019096 (MA)
Epilepsy Physician Primary 2084E0001X1019096 (MA)

Epilepsy Physician: Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.<br/>

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About NPI 1376170548

Mia Yu Bothwell, MD, PhD's National Provider Identifier is 1376170548, issued on Mar 26, 2020. The primary taxonomy on file is Epilepsy Physician (2084E0001X), and the practice location is in Boston, MA. The record was last updated on Jun 9, 2026.