Alexander Nicholas Bohatiuk, DC
Individual provider Active NPI Chiropractor · Bear, DE
NPI 1164544896 · NPPES record last updated Sep 30, 2013
Key facts
- NPI
- 1164544896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- F10000281 (DE)
- Practice address
- 811 Governors Place
Bear, DE 19701 - Phone
- (302) 836-8361
- Fax
- (302) 836-8163
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091105000415 | DE | Practitioner - Chiropractic | 4385782747 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | F10000281 | DE | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4370293 | Other | AETNA | |
| 564171 | Other | BLUE CROSS | |
| 564171 | Other | AMERIHEALTH | |
| 0385484000 | Other | KEYSTONE |
Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.