Bonham Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0807 Issued in SC

Legal business name

BONHAM CLINIC PA

Practice address

1525 B Sunset Blvd
West Columbia, SC 29169

Phone

(803) 791-3900

Fax

(803) 791-7899

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Gregory Bonham Jr., DC

Title

Chiropractor President

Phone

(803) 791-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bonham Chiropractic Center Doing business as

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609955830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 B SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-791-3900",
            "fax_number": "803-791-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 B SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-791-3900",
            "fax_number": "803-791-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONHAM CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CHIROPRACTOR PRESIDENT",
        "authorized_official_telephone_number": "803-791-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "0807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH145",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonham Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spencer Wayne Bolton
• Alison A Bond, PT
• Stephanie Speck Bond, OTR/L
• Theresa Bonesteel, LPC, LMFT
• James W. Boney, PA-C
• Sandy Frye Boone, MA, LPC
• Harriet L Boozer, M.D.
• Ekaterina Grace Bordelon
• Paul Herbert Bornemann, M.D.
• Mary A Bosworth, CRNA

• Chiropractor in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.