Active NPI
Bill N Boswell, M.D.
- Urology Physician
- Johnson City, TN
National Provider Identifier
1306895727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD0000015354
- Practice address
- 508 Princeton Rd
Suite 104
Johnson City, TN 37601-2060 - Phone
- (423) 928-0168
- Fax
- (423) 928-5141
- NPI assigned
- May 10, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD0000015354 | TN | Primary |
Addresses
Primary practice location
508 Princeton Rd
Suite 104
Johnson City, TN 37601-2060
Mailing address
508 Princeton Rd
Suite 104
Johnson City, TN 37601-2060
Phone (423) 928-0168
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3060284 | Medicaid | TN | |
| 340012652 | Other | TN | RAILROAD MEDICARE |
| 0134347 | Other | TN | BCBS |
| TN0103 | Other | TN | JOHN DEERE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306895727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 PRINCETON RD",
"address_2": "SUITE 104",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012060",
"telephone_number": "423-928-0168",
"fax_number": "423-928-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 PRINCETON RD",
"address_2": "SUITE 104",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012060",
"telephone_number": "423-928-0168",
"fax_number": "423-928-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWELL",
"first_name": "BILL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TN",
"license": "MD0000015354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3060284",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340012652",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0134347",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN0103",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.