Brian Christopher Bohman, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9599 Issued in CO

Practice address

13605 Xavier LN
Suite D
Broomfield, CO 80023-3603

Phone

(720) 887-8357

Fax

(720) 887-8359

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bohman Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Broomfield, CO
  • NPI 1629217583
  NPD (past) Authorized official

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254614400000",
    "number": "1285849463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14144 SUN BLAZE LOOP",
            "address_2": "UNIT D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234555",
            "telephone_number": "702-245-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LN",
            "address_2": "SUITE D",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233603",
            "telephone_number": "720-887-8357",
            "fax_number": "720-887-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHMAN",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2009-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9599",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "5055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Boaz, LCSW
• Shannon Bock, PA-C
• Bodies in Motion Chiropractic
• Body in Balance Chiropractic and Wellness, PLLC
• Bohman Orthodontics, PC
• Lisa Boldini
• Moranda Lynn Boles, RD
• Evelyn Yoh Bolt, MD
• Marisa Bolton
• Christine Bonavita, RN, IBCLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2009; 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.