Active NPI
Daniel Wayne Bozarth, MD
- Vascular & Interventional Radiology Physician
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 52309
- Practice address
- 101 E Wood St
Spartanburg, SC 29303-3040 - Phone
- (864) 560-6522
- Fax
- (888) 972-8644
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 52309 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 01059085A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | M1032 | TX | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301091459 | MI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 52309 | SC | Primary |
Addresses
Primary practice location
101 E Wood St
Spartanburg, SC 29303-3040
Mailing address
PO Box 678207
Dallas, TX 75267-8207
Phone (800) 841-4236
Other practice location 1
5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone (317) 328-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCD6671324 | Medicaid | SC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (513) 853-8520
125 Commonwealth Dr
Greenville, SC 29615-4812
Phone (864) 675-4000
317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901
3970 Grandview Dr
Simpsonville, SC 29680-3163
Hospital & facility affiliations
- St Francis-Downtown
- Bon Secour St. Francis Inpatient Rehab Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301091459 | MI | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Northwest Radiology Network P C | Diagnostic Radiology | Past | Accepting new patients |
| St Vincent Northwest Radiology LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
Interoperability endpoints
- dbozarth1149667@direct.bsmhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1447259338
-
- Diagnostic Radiology Physician
- Fishers, IN
- NPI 1114978350
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Greenville, SC
- NPI 1063454544
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1205891025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 678207",
"city": "DALLAS",
"state": "TX",
"postal_code": "752678207",
"telephone_number": "800-841-4236",
"fax_number": "706-653-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WOOD ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033040",
"telephone_number": "864-560-6522",
"fax_number": "888-972-8644"
}
],
"practiceLocations": [
{
"address_1": "5901 Technology Center Dr",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462786013",
"country_code": "US",
"telephone_number": "317-328-5050",
"fax_number": "317-715-9965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOZARTH",
"first_name": "DANIEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "52309",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01059085A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M1032",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301091459",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "52309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SCD6671324",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.