Active NPI
Alexander Nicholas Bohatiuk, DC
- Chiropractor
- Bear, DE
National Provider Identifier
1164544896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- F10000281
- Practice address
- 811 Governors Place
Bear, DE 19701 - Phone
- (302) 836-8361
- Fax
- (302) 836-8163
- NPI assigned
- Apr 4, 2007
- Last updated
- Sep 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F10000281 | DE | Primary |
| Chiropractor | 111N00000X | DC003923L | PA |
Addresses
Primary practice location
811 Governors Place
Bear, DE 19701
Mailing address
811 Governors Place
Bear, DE 19701
Phone (302) 836-8361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
811 Governors PL
Bear, DE 19701-3046
Phone (302) 836-8361
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10000281 | DE | MD | Chiropractor |
| DC003923L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
Locations
811 Governors Pl
Bear, DE 19701
Phone (302) 836-8361
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Bear, DE
- NPI 1194934083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1164544896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 GOVERNORS PLACE",
"city": "BEAR",
"state": "DE",
"postal_code": "19701",
"telephone_number": "302-836-8361",
"fax_number": "302-836-8163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 GOVERNORS PLACE",
"city": "BEAR",
"state": "DE",
"postal_code": "19701",
"telephone_number": "302-836-8361",
"fax_number": "302-836-8163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHATIUK",
"first_name": "ALEXANDER",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "DE",
"license": "F10000281",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003923L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bear, DE
- Bio-Medical Applications of Delaware, Inc. (Fresenius Medical Care Fox Run)
- Bonita Jody Blackman, APRN, PMHNP
- Blesscare Home Caregivers LLC
- Julia Blevins
- Carly Ann Block
- Brie Danielle Bolger, FNP
- Beverly Alvita Bond, LMSW
- Chandani Borad
- Samantha Boruchov, MS.ED, PD, NCSP
- Amanda Jennifer Bostick, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.