Norris Ivan Boone, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6584 Issued in SC

Practice address

3600 Sandy Flat Rd
Taylors, SC 29687-6216

Phone

(864) 354-7415

Fax

(834) 834-8581

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679646046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SANDY FLAT RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296876216",
            "telephone_number": "864-354-7415",
            "fax_number": "834-834-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SANDY FLAT RD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296876216",
            "telephone_number": "864-354-7415",
            "fax_number": "834-834-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "NORRIS",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "6584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Bryan Blackwell, RPH
• Jordan A. Bland, MMFT, LMFT
• Bloomfield Family Practice, P.C.
• Geoffrey Ian Bloomquist, D.M.D.
• Blue Ridge Family Chiropractic, LLC
• Camilla Kathlyne Bravo, LPCS
• Benjamin Broadwater, PHARMD
• McKenzie Brothers, MS, CCC-SLP
• Anita Blandena Brown, LPC
• Katherine N Bui, PHARM.D.

• Internal Medicine Physician in Taylors, SC
• Providers in Taylors, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.