Individual provider Active NPI

John Gregory Bohlen, MD

  • Family Medicine Physician
  • Circleville, OH
National Provider Identifier
1689665242
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35046385B Issued in OH
Practice address
610 Northridge Rd
Circleville, OH 43113
Phone
(740) 474-3159
Fax
(740) 474-2110
NPI assigned
Nov 2, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35046385B OH Primary

Addresses

Primary practice location

610 Northridge Rd
Circleville, OH 43113

Mailing address

PO Box 578
Circleville, OH 43113
Phone (740) 474-3159

Other identifiers 1

IdentifierTypeStateIssuer
509542MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000071 OH Practitioner - Family Practice 5294711040

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

578 PO Box
Circleville, OH 43113

PO Box
Suite 578
Circleville, OH 43113

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35046385BOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pickaway Health Services Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689665242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "43113",
            "telephone_number": "740-474-3159",
            "fax_number": "740-474-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NORTHRIDGE RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "43113",
            "telephone_number": "740-474-3159",
            "fax_number": "740-474-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLEN",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35046385B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509542",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.