Heidi Bozard

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3884 Issued in SC

Practice address

4201 Carolina Exchange Dr Ste 102
Myrtle Beach, SC 29579-4221

Phone

(843) 455-7505

NPI assigned

Dec 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1083942981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 CAROLINA EXCHANGE DR STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 CAROLINA EXCHANGE DR STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794221",
            "telephone_number": "843-455-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZARD",
        "first_name": "HEIDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Evan Boykin, DO
• Molly Elizabeth Boyko, DO
• Jacqueline Noel Boyle, MASSAGE THERAPIST
• Natalie Sophia Boyle, RN
• Katarina Boyles
• Theresa Lucille Bozza-Hicks, MA, LPC, CMHIMP
• Elizabeth Renee Bralley, BSW
• Tanya C Bralley, P.A.
• Denise R Brand, LPC
• James Elliott Brannon, MD

• Speech-Language Pathologist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.