Individual provider Active NPI

Steven Jon Bosc II, PA-C

  • Medical Physician Assistant
  • Sumter, SC
National Provider Identifier
1194302679
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MPA.3910 Issued in SC
Practice address
325 Broad St
Sumter, SC 29150-4167
Phone
(803) 773-5227
NPI assigned
Mar 29, 2021
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MPA.3910 SC Primary

Addresses

Primary practice location

325 Broad St
Sumter, SC 29150-4167

Mailing address

689 White Pine Way
Sumter, SC 29154-6214
Phone (843) 568-9939

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL steven.bosc@colonialhealthcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210415001728 SC Practitioner - Physician Assistant 6204244098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Colonial Family Practice LLCGroup PAC ID 9931017118, 58 clinicians

Practice addresses (Care Compare)

1013 Professional CT
Manning, SC 29102-2827
Phone (803) 433-7425

1036 Professional CT
Manning, SC 29102-2827
Phone (803) 773-5227

325 Broad St
Suite 100
Sumter, SC 29150-4167
Phone (803) 773-5227

327 Broad St
Sumter, SC 29150-4152
Phone (803) 773-5227

742 W Liberty St
Sumter, SC 29150-4746
Phone (803) 773-5227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3910SCMDPediatric Dentist
MPA.3910SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colonial Family Practice, LLC Multi-Specialty CurrentSince Apr 12, 2021 Accepting new patients
Colonial Family Practice, LLC Multi-Specialty Past Accepting new patients
Colonial Family Practice, LLC Multi-Specialty Past Accepting new patients
Colonial Family Practice, LLC Multi-Specialty Past Accepting new patients
Colonial Family Practice, LLC Past Accepting new patients
Colonial Family Practice, LLC Multi-Specialty PastSince Apr 6, 2021 Accepting new patients
Colonial Family Practice - Manning Multi-Specialty Past Accepting new patients
Colonial Family Practice, LLC Multi-Specialty PastSince Apr 6, 2021 Accepting new patients
Colonial Family Practice, LLC Multi-Specialty Past Accepting new patients
Colonial Family Practice, LLC Multi-Specialty Past Accepting new patients
Colonial Family Practice & Ambulatory Care Center Multi-Specialty Past Accepting new patients
Colonial Family Practice, LLC Multi-Specialty Past Accepting new patients

Locations

1124 Little St
Camden, SC 29020
Phone (803) 432-9899

4700 Forest Dr
Columbia, SC 29206
Phone (803) 256-1511

1013 Professional Ct
Ste A
Manning, SC 29102
Phone (803) 433-7425

1013 Professional Ct
Ste C
Manning, SC 29102
Phone (803) 433-7425

1036 Professional Ct
Manning, SC 29102
Phone (803) 433-5220

308 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 905-1200

325 Broad St
Ste 100
Sumter, SC 29150

325 Broad St
Ste 200
Sumter, SC 29150
Phone (803) 775-4469

327 Broad St
Sumter, SC 29150
Phone (803) 774-2781

385 W Wesmark Blvd
Sumter, SC 29150
Phone 8037735227 ext. 1013

674 W Liberty St
Sumter, SC 29150
Phone 80377352276010

742 W Liberty St
Sumter, SC 29150
Phone (803) 773-3391

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHIBD

Organizations & group practices 12

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1194302679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 WHITE PINE WAY",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291546214",
            "telephone_number": "843-568-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BROAD ST",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504167",
            "telephone_number": "803-773-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSC",
        "first_name": "STEVEN",
        "middle_name": "JON",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "MPA.3910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "steven.bosc@colonialhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 Broad St",
            "city": "Sumter",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291504167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.