Active NPI
Roger Bohn, D.C.
- Chiropractor
- Bonita Springs, FL
National Provider Identifier
1366555120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00004690
- Practice address
- 27970 Crown Lake Blvd Ste 1
Bonita Springs, FL 34135-4255 - Phone
- (239) 947-3330
- Fax
- (239) 947-9493
- NPI assigned
- Aug 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00004690 | FL | Primary |
Addresses
Primary practice location
27970 Crown Lake Blvd Ste 1
Bonita Springs, FL 34135-4255
Mailing address
27970 Crown Lake Blvd Ste 1
Bonita Springs, FL 34135-4255
Phone (239) 947-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59-2534316 | Other | FL | FEDERAL TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
27970 Crown Lake Blvd
Suite 1
Bonita Springs, FL 34135-4255
Phone (239) 947-3330
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00004690 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger a Bohn DC PA | Chiropractor | Current | Accepting new patients |
Locations
27970 Crown Lake Blvd
Ste 1
Bonita Springs, FL 34135
Phone (239) 947-3330
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1366555120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27970 CROWN LAKE BLVD STE 1",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354255",
"telephone_number": "239-947-3330",
"fax_number": "239-947-9493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27970 CROWN LAKE BLVD STE 1",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341354255",
"telephone_number": "239-947-3330",
"fax_number": "239-947-9493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHN",
"first_name": "ROGER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH00004690",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "59-2534316",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
- Ida D Blount, M.S.; LMFT
- Bmuc Holdings Inc
- Body Pain Medical Center, Inc.
- David R Boerkoel, OTR
- Guillermo Bohm, MD
- Chabely Bolet Reyes
- Bonita Beach Chiropractic, LLC
- Bonita Beach Medical Group LLC
- Bonita Community Health Center Inc (Bonita Springs Health Center)
- Bonita Community Health Center Inc (Bonita Community Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.