Stephane Bohemier, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010558 Issued in MI

Practice address

4064 Alpine Ave NW
Ste B
Comstock Park, MI 49321-8909

Phone

(616) 965-1197

NPI assigned

Apr 18, 2018

Last updated

Dec 7, 2020By the provider in NPPES

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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Family Chiropractic

  • Chiropractor
  • Comstock Park, MI
  • NPI 1881297950
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1609363381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 ALPINE AVE NW",
            "address_2": "STE B",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218909",
            "telephone_number": "616-965-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 ALPINE AVE NW",
            "address_2": "STE B",
            "city": "COMSTOCK PARK",
            "state": "MI",
            "postal_code": "493218909",
            "telephone_number": "616-965-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHEMIER",
        "first_name": "STEPHANE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Von Benson Jr.
• Mohamad G Beydoun, PHARMD
• Beyond Blessed Services (N/a)
• Matthew Black, OD
• Blessing Keepers Adult Living LLC
• Jerry E Bowser
• Alexis Mary Brannan, LLMSW
• Brent Reeve PLLC (Comstock Park Family Chiropractic)
• Brightside Living LLC
• Bruce a Stewart DDS PC

• Chiropractor in Comstock Park, MI
• Providers in Comstock Park, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.