Individual provider Active NPI

Phillip Bostian, M.D.

  • Orthopaedic Surgery Physician
  • Hickory, NC
National Provider Identifier
1043625361
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2021-00032 Issued in NC
Practice address
2165 Medical Park Dr
Hickory, NC 28602-8809
Phone
(828) 294-7793
Fax
(828) 294-9160
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 01084243B IN
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X CV2002622 IN
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 2021-00032 NC Primary

Addresses

Primary practice location

2165 Medical Park Dr
Hickory, NC 28602-8809

Mailing address

2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 294-7793

Other practice location 1

1 Medical Center Drive
Morgantown, WV 26506-9196
Phone (304) 293-1168

Other practice location 2

1801 N Senate Blvd Ste 535
Indianapolis, IN 46202-1204
Phone (704) 965-0164

Other practice location 3

3900 Terrell Park Dr
Sherrills Ford, NC 28673-9509
Phone (828) 580-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210623002077 NC Practitioner - Orthopedic Surgery 8729380449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Brody School of Medicine at East Carolina University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 324-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement86
Knee replacement149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01084243BINMDAdult Reconstructive Orthopaedic Surgery Physician
CV2002622INMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Aug 1, 2021 Accepting new patients
Emergeortho PA Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

50 13th Ave NE
Ste 1
Hickory, NC 28601
Phone (828) 624-1250

2165 Medical Park Dr
Hickory, NC 28602
Phone (828) 294-7793

829 W 25th St
Newton, NC 28658
Phone (828) 459-6824

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

3900 Terrell Park Dr
Ste 101
Sherrills Ford, NC 28673
Phone (828) 464-3771

3900 Terrell Park Dr
Sherrills Ford, NC 28673
Phone (828) 580-1331

Interoperability endpoints

  • Direct secure messaging: phillip.bostain.1@847.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1043625361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 MEDICAL PARK DR",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028809",
            "telephone_number": "828-294-7793",
            "fax_number": "828-294-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 MEDICAL PARK DR",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028809",
            "telephone_number": "828-294-7793",
            "fax_number": "828-294-9160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Drive",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265069196",
            "country_code": "US",
            "telephone_number": "304-293-1168",
            "fax_number": "304-293-0231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N Senate Blvd Ste 535",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021204",
            "country_code": "US",
            "telephone_number": "704-965-0164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Terrell Park Dr",
            "address_purpose": "LOCATION",
            "city": "Sherrills Ford",
            "state": "NC",
            "postal_code": "286739509",
            "country_code": "US",
            "telephone_number": "828-580-1331",
            "fax_number": "828-655-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTIAN",
        "first_name": "PHILLIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IN",
            "license": "01084243B",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IN",
            "license": "CV2002622",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2021-00032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.