Robert G Bousquet, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH2296 Issued in SC

Practice address

655 Fairview Rd
Suite J
Simpsonville, SC 29680-7500

Phone

(864) 962-8800

Fax

(864) 228-9129

NPI assigned

Mar 20, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Simpsonville Family Chiropractic, Inc.

  • Chiropractor
  • Simpsonville, SC
  • NPI 1669567327
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1043335102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 FAIRVIEW RD",
            "address_2": "SUITE J",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807500",
            "telephone_number": "864-962-8800",
            "fax_number": "864-228-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 FAIRVIEW RD",
            "address_2": "SUITE J",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807500",
            "telephone_number": "864-962-8800",
            "fax_number": "864-228-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSQUET",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "CH2296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2296",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwin Heathman Bost IV, D.C.
• Kenyatta Tavaris Bostic
• Amanda Bostick, P.T.
• Megan Bouchard, PHARMD
• Nakita Bouie
• Boutwell Dental, LLC
• Joanna Lea Boutwell, DDS
• Eathel L. Bowen, R.PH.
• Gertrude Norton Boxall, N.P.
• Monique Leekam Boyd, NP-C

• All providers in Simpsonville, SC
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.