Organization Active NPI

Boswell Family Medicine

  • Adult Medicine Physician
  • Jasper, AL
National Provider Identifier
1174718464
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
16975 Issued in AL
Legal business name
BOSWELL FAMILY MEDICINE
Practice address
1325 Highway 195
Jasper, AL 35503-6461
Phone
(205) 302-0284
Fax
(205) 302-0252
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Scott Hull Boswell, M.D.NPI 1174522361
Title
President/Owner
Phone
(205) 302-0284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X 16975 AL
Addiction Medicine (Family Medicine) Physician 207QA0401X 16975 AL
Adult Medicine Physician 207QA0505X 16975 AL Primary

Addresses

Primary practice location

1325 Highway 195
Jasper, AL 35503-6461

Mailing address

1325 Highway 195
Jasper, AL 35503-6461
Phone (205) 302-0284

Other identifiers 1

IdentifierTypeStateIssuer
51029911OtherALBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1325 Highway 195
Jasper, AL 35503
Phone (205) 302-0284

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1174718464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 HIGHWAY 195",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355036461",
            "telephone_number": "205-302-0284",
            "fax_number": "205-302-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HIGHWAY 195",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355036461",
            "telephone_number": "205-302-0284",
            "fax_number": "205-302-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSWELL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "BOSWELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "HULL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "205-302-0284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "AL",
            "license": "16975",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AL",
            "license": "16975",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "AL",
            "license": "16975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51029911",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.