NPIMap

Individual provider Active NPI

Dawn Elizabeth Bost, MD

  • Internal Medicine Physician
  • Salem, OR
National Provider Identifier
1710051610
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD16820 Issued in OR
Practice address
350 Miller St SE
Salem, OR 97302-4272
Phone
(541) 758-0766
NPI assigned
Nov 20, 2006
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16820 OR
Internal Medicine Physician 207R00000X MD16820 OR Primary

Addresses

Primary practice location

350 Miller St SE
Salem, OR 97302-4272

Mailing address

981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone (541) 758-0766

Other practice location 1

981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone (541) 758-0766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000573 OR Practitioner - Internal MedicinePractitioner - Psychiatry 6204842396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arizona College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley ClinicsGroup PAC ID 4981943776, 13 clinicians

Practice addresses (Care Compare)

981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone (541) 758-0766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16820ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Clinics Internal Medicine CurrentSince Nov 22, 2024 Accepting new patients
Corvallis Internal Medicine, PC Internal Medicine CurrentSince Nov 22, 2024 Accepting new patients

Locations

3388 Pacific Blvd SW
Albany, OR 97321
Phone (541) 758-0766

981 NW Spruce Ave
Corvallis, OR 97330
Phone (541) 758-0766

350 Miller St SE
Salem, OR 97302
Phone (503) 370-8784

Organizations & group practices 2

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 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1710051610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 NW SPRUCE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302111",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MILLER ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024272",
            "telephone_number": "541-758-0766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 NW Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973302111",
            "country_code": "US",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOST",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "16820",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD16820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.