Individual provider Active NPI

Christian Oliver Bohan, MD

  • Neurological Surgery Physician
  • Bellingham, WA
National Provider Identifier
1174086615
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD.MD.70086780 Issued in WA
Practice address
710 Birchwood Ave Ste 101
Bellingham, WA 98225-1720
Phone
(360) 676-0922
Fax
(360) 671-4726
NPI assigned
Apr 11, 2019
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD.MD.70086780 WA Primary

Addresses

Primary practice location

710 Birchwood Ave Ste 101
Bellingham, WA 98225-1720

Mailing address

710 Birchwood Ave Ste 101
Bellingham, WA 98225-1720
Phone (360) 676-0922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190711000016 PA Order and Referring Only - NeurosurgeryPractitioner - Neurosurgery 5294060430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.MD.70086780WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth Corner Neurosurgical Associates Inc PS CurrentSince Aug 18, 2026 Accepting new patients
Fourth Corner Neurosurgical Associates Inc PS Neurological Surgery PastSince Aug 18, 2026 Accepting new patients

Locations

710 Birchwood Ave
Ste 101
Bellingham, WA 98225
Phone (360) 626-0922

710 Birchwood Ave
Ste 103
Bellingham, WA 98225
Phone (360) 527-0404

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1174086615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "360-676-0922",
            "fax_number": "360-671-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "360-676-0922",
            "fax_number": "360-671-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHAN",
        "first_name": "CHRISTIAN",
        "middle_name": "OLIVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD.MD.70086780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.