Individual provider Active NPI

Thomas Eppinger Boshell, M.D.

  • Surgery Physician
  • Brewton, AL
National Provider Identifier
1356308076
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00020765 Issued in AL
Practice address
1123 Belleville Avenue
Brewton, AL 36426-1336
Phone
(251) 867-8001
Fax
(251) 867-9643
NPI assigned
Apr 27, 2006
Last updated
Jun 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00020765 AL Primary

Addresses

Primary practice location

1123 Belleville Avenue
Brewton, AL 36426-1336

Mailing address

PO Box 384
Brewton, AL 36427-0384
Phone (251) 867-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000001 AL Practitioner - General Surgery 3971680331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DW McMillan Surgical Group LLCGroup PAC ID 3870909740, 3 clinicians

Practice addresses (Care Compare)

1123 Belleville Ave
Brewton, AL 36426-1505
Phone (251) 867-8001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy40
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux30
Melanoma (skin cancer) excision12
Removal of tissue1-10
Removal of skin lesions20
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00020765ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DW McMillan Surgical Group LLC Surgery CurrentSince Apr 18, 2022 Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

1123 Belleville Ave
Brewton, AL 36426
Phone (251) 867-6071

98 Crestview Ave
Evergreen, AL 36401
Phone (251) 578-0238

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1356308076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364270384",
            "telephone_number": "251-867-8001",
            "fax_number": "251-867-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 BELLEVILLE AVENUE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261336",
            "telephone_number": "251-867-8001",
            "fax_number": "251-867-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHELL",
        "first_name": "THOMAS",
        "middle_name": "EPPINGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00020765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewton, AL

Sources for this page

Verify at the official NPI Registry.