Individual provider Active NPI

Roger Bohn, D.C.

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1366555120
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00004690 Issued in FL
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

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
59-2534316OtherFLFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000071 FL Practitioner - Chiropractic 3274726161 Reassigns benefits to 1 organization

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 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00004690FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Roger a Bohn DC PA Chiropractor CurrentSince Jul 26, 2010 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

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.

Verify at the official NPI Registry.