Organization Active NPI

John Bottsford

  • Vascular Surgery Physician
  • Spartanburg, SC
National Provider Identifier
1043547102
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
6941 Issued in SC
Legal business name
JOHN BOTTSFORD
Doing business as
BOTTSFORD VEIN CENTER
Practice address
385 Serpentine Dr
Ste B
Spartanburg, SC 29303-3018
Phone
(864) 560-7042
Fax
(864) 560-7084
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Dr. John Eugene Bottsford Jr., MD
Title
Owner
Phone
(864) 560-7042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 6941 SC Primary

Addresses

Primary practice location

385 Serpentine Dr
Ste B
Spartanburg, SC 29303-3018

Mailing address

385 Serpentine Dr
Ste B
Spartanburg, SC 29303-3018
Phone (864) 560-7042

Other names 1

  • BOTTSFORD VEIN CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

385 Serpentine Dr
Ste B
Spartanburg, SC 29303
Phone (864) 560-7042

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1043547102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 SERPENTINE DR",
            "address_2": "STE B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033018",
            "telephone_number": "864-560-7042",
            "fax_number": "864-560-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SERPENTINE DR",
            "address_2": "STE B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033018",
            "telephone_number": "864-560-7042",
            "fax_number": "864-560-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN BOTTSFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "BOTTSFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-560-7042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "6941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOTTSFORD VEIN CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.