Daniel R Botsford Jr., MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

6124 Issued in NH

Practice address

185 Queen City Ave
Elliot Neurology Associates
Manchester, NH 03101-7100

Phone

(603) 669-0859

Fax

(603) 644-3391

NPI assigned

Nov 29, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Elliot Professional Services

  • Psychiatry Physician
  • Manchester, NH
  • NPI 1669431466
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1649253261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "address_2": "ELLIOT NEUROLOGY ASSOCIATES",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017100",
            "telephone_number": "603-669-0859",
            "fax_number": "603-644-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 QUEEN CITY AVE",
            "address_2": "ELLIOT NEUROLOGY ASSOCIATES",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031017100",
            "telephone_number": "603-669-0859",
            "fax_number": "603-644-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTSFORD",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "6124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81130402",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Borr
• Eric M Borsini, DC
• Jessie Anh Boseke, PHARMD
• Angela Gabrielle Bossio, BA
• Erin Bosteels
• Michelle Bou-Mitri
• Alexandria Madeline Bouchard, LICSW
• Jonquille Bouchard, D.O.
• Bryan David Boucher, RPH
• Chastity J Boucher, MSN

• Neurology Physician in Manchester, NH
• Providers in Manchester, NH by specialty
• Neurology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.