Michael John Bostjancic, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60036331 Issued in WA

Practice address

51 Riverwalk Blvd Ste 3C
Ridgeland, SC 29936-3201

Phone

(843) 252-0533

Fax

(843) 510-1122

NPI assigned

Sep 22, 2008

Last updated

May 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Mike John Bostjancic Former name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Carolina Chiropractic LLCGroup PAC ID 2769857580, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Carolina Chiropractic LLC

  dba South Carolina Chiropractic

  • Chiropractor
  • Ridgeland, SC
  • NPI 1154028082
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1003066507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 RIVERWALK BLVD STE 3C",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299363201",
            "telephone_number": "843-252-0533",
            "fax_number": "843-510-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 RIVERWALK BLVD STE 3C",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299363201",
            "telephone_number": "843-252-0533",
            "fax_number": "843-510-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTJANCIC",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60036331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "BOSTJANCIC",
            "middle_name": "JOHN",
            "prefix": "MR.",
            "credential": "D.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chiropractor in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.