Individual provider Active NPI

Scott Hull Boswell, M.D., M.P.H.

  • General Practice Physician
  • Jasper, AL
National Provider Identifier
1174522361
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16975 Issued in AL
Practice address
2905 Long Ridge Dr
Jasper, AL 35504-9156
Phone
(205) 275-9075
NPI assigned
Jul 19, 2005
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16975 AL
General Practice Physician 208D00000X 16975 AL Primary

Addresses

Primary practice location

2905 Long Ridge Dr
Jasper, AL 35504-9156

Mailing address

2905 Long Ridge Dr
Jasper, AL 35504-9156
Phone (205) 275-9075

Other identifiers 2

IdentifierTypeStateIssuer
51029911OtherALBLUE CROSS NUMBER
000029911MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040128000429 AL Practitioner - Emergency MedicinePractitioner - Family Practice 7315840485 Reassigns benefits to 1 organization
Practice locations: Jasper, AL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC General Practice CurrentSince Jun 10, 2021 Accepting new patients
Boswell Family Medicine Past Accepting new patients
Baptist Medical Center-Leake, Inc. General Practice Past Accepting new patients
Demopolis Emergency Physicians, LLC Past Accepting new patients
Carthage Senior Care Past Accepting new patients
North Madison Physician Billing Past Accepting new patients
Andalusia Emergency Physicians, LLC Past Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1174522361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 LONG RIDGE DR",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355049156",
            "telephone_number": "205-275-9075",
            "fax_number": "205-302-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 LONG RIDGE DR",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355049156",
            "telephone_number": "205-275-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "SCOTT",
        "middle_name": "HULL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "16975",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "16975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "51029911",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000029911",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.