William Gregory Bottom, ANP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017018516 Issued in MO

Practice address

2115 S Fremont Ave Ste 3000
Springfield, MO 65804-2215

Phone

(417) 820-9123

NPI assigned

Sep 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1442707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1497124408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 S FREMONT AVE STE 3000",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042215",
            "telephone_number": "417-820-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S FREMONT AVE STE 3000",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042215",
            "telephone_number": "417-820-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 S National Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075210",
            "country_code": "US",
            "telephone_number": "417-885-3888",
            "fax_number": "417-881-7268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTOM",
        "first_name": "WILLIAM",
        "middle_name": "GREGORY",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-20",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017018516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Boswell
• Craig Lee Boswell, M.D.
• Jonathan Hall Boswell, PA
• Weston Robert Boswell
• Marcy A. Bot-Baron, ANP
• Amy Catherine Bouchard
• Hailey Bouchard
• Brendan Boucher, DC
• Amanda Marie Bouchey I
• Craig F Boughton, PSY.D.

• Family Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.