Bosman Chiropractic Life Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007418 Issued in MI

Legal business name

BOSMAN CHIROPRACTIC LIFE CENTER, P.C.

Practice address

709 S Opdyke Rd
Auburn Hills, MI 48326-3436

Phone

(248) 253-1700

Fax

(248) 253-1707

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Joseph Bosman, D.C.NPI 1245217330

Title

President

Phone

(248) 253-1700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bosman Chiropractic Life Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey J. Bosman, D.C.

  • Chiropractor
  • Auburn Hills, MI
  • NPI 1245217330
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1487608162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S OPDYKE RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263436",
            "telephone_number": "248-253-1700",
            "fax_number": "248-253-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S OPDYKE RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263436",
            "telephone_number": "248-253-1700",
            "fax_number": "248-253-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSMAN CHIROPRACTIC LIFE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "BOSMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-253-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
            "identifier": "0F34187",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID NUMBER",
            "identifier": "0F35426",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4375884",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bosman Chiropractic Life Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Marie Bongiorno
• Cutrell Booker
• William S. Boom
• Rebecca Ann Borst, LBSW, LLPC
• Peter Michael Boruta, MD
• Jeffrey J. Bosman, D.C.
• Tyeshia Bowers
• Alyssa Ann Bremner Bradford
• Brain & Body Physical Therapy LLC
• Quania Dominique Branch, LLMSW

• Chiropractor in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.