Individual provider · Type 1 NPI
Mario Bovino, MD
Neurology Physician · Gary, IN
NPI number
1861064131
Active
Practice location
650 Richard Gordon Hatcher Blvd
Gary, IN 46404-1533
Fax (219) 738-4931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 125.078044 (IL) |
| Internal Medicine Physician | 207R00000X | 125.078044 (IL) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
About NPI 1861064131
Mario Bovino, MD's National Provider Identifier is 1861064131, issued on Jul 15, 2021. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Gary, IN. The record was last updated on Jul 29, 2026.