Active NPI
Elizabeth Bozard
- Registered Nurse
- Newberry, SC
National Provider Identifier
1053716480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 27758
- Practice address
- 125 Oneal St
Newberry, SC 29108-7295 - Phone
- (803) 321-2620
- Fax
- (803) 321-1158
- NPI assigned
- Oct 28, 2014
- Last updated
- Oct 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 27758 | SC | Primary |
Addresses
Primary practice location
125 Oneal St
Newberry, SC 29108-7295
Mailing address
125 Oneal St
PO Box 718
Newberry, SC 29108-7295
Phone (803) 321-2620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27758 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1053716480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 ONEAL ST",
"address_2": "PO BOX 718",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291087295",
"telephone_number": "803-321-2620",
"fax_number": "803-321-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 ONEAL ST",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291087295",
"telephone_number": "803-321-2620",
"fax_number": "803-321-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZARD",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-28",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "27758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newberry, SC
- Michael Jerome Bernardo, MD
- Katherine Bills, OTR/L
- Bio-Medical Applications of South Carolina, Inc. (Newberry Dialysis Center)
- Jessica Carole Blake, FNP
- Jeffrey Bodenhamer, A.T.,C.
- Thomas F Bradberry, MD
- Branch & Stafford Optometric Associates, PA (Eye Care Center)
- Sarah H Brickley, OTR/L
- Diane Zybko Broom, DMD
- Robert Leslie Brown, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.