Active NPI
Andrew Lance Bohlman, D.C.
- Chiropractor
- Seeley Lake, MT
National Provider Identifier
1306932678
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1276
- Practice address
- 3027 Hwy 83
Suite M
Seeley Lake, MT 59868 - Phone
- (406) 677-3617
- NPI assigned
- Oct 5, 2006
- Last updated
- Jan 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1276 | MT | Primary |
Addresses
Primary practice location
3027 Hwy 83
Suite M
Seeley Lake, MT 59868
Mailing address
P.O. Box 1279
Suite M
Seeley Lake, MT 59868
Phone (406) 677-3617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1276 | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reno Chiropractic Center Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Seeley Lake, MT
- NPI 1649626714
-
- Chiropractor
- Reno, NV
- NPI 1588845549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1306932678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1279",
"address_2": "SUITE M",
"city": "SEELEY LAKE",
"state": "MT",
"postal_code": "59868",
"telephone_number": "406-677-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 HWY 83",
"address_2": "SUITE M",
"city": "SEELEY LAKE",
"state": "MT",
"postal_code": "59868",
"telephone_number": "406-677-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHLMAN",
"first_name": "ANDREW",
"middle_name": "LANCE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "1276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seeley Lake, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.